B13 Flashcards
pharmacological effects of central muscle relaxants
decrease motor activity
paralysis of voluntary muscles
no loss of conscioussness
use of central muscle relaxants
potentiate effect of anaesthetics
to control certain spasmodic and painful disorders
drugs to know muscle relaxants
guaiphenisin
atracurium
pancuronium
2 classes of peripheral muscle relaxants
depolarising
competitive
use of neuromuscular blocking agent
adjuvant in surgery TIVA assist intubation corneal/retinal surgeries therapy of spastic disorders
depolarising
succinylcholine (chloride)
phase I block
depolarising of the motor end plate. not reversed by cholinesterase inhibitors
phase II block
side effect after repolarisation, membrane cant easily be depolarised again
non depolarising/competitive
antagonize NAch receptors
prevent muscle cell depolarisation
complete block leading to flaccid and motor paralysis
atracurium
intermediate duration of action
safe in liver and kidney
pancuronium
long acting