Neuromuscular Blocker Drug Onset/Dose/Duration Flashcards
Succinylcholine Dose?
1-1.5 mg/kg
Succinylcholine Onset?
30 seconds - 1 minute
Succinylcholine Peak?
1 minute
Succinylcholine Duration?
5-10 minutes
Succinylcholine MOA?
Nicotinic Acetylcholine Receptor Antagonist - Binds to both alpha subunits on the Nicotinic Acetylcholine receptor on the Na channel displacing achetylcholine causing a depolarization.
Succinylcholine Metabolized by?
Plasma Pseudocholinesterase
Succinylcholine Side Effects?
Increase HR / Inotropy, fasiculations, Myalgias, Large Potassium release.
Rocuronium Dose?
0.6 -1.2 mg/kg
Rocuronium Onset?
1 minute 30 Seconds
Rocuronium Peak?
1-2 minutes
Rocuronium Duration?
20 - 35 minutes
Rocuronium MOA?
Nicotinic Acetylcholine Receptor Antagonist - Binds to ONE of the alpha subunits of the Nicotinic Acetylcholine receptor on the Na Channel preventing depolarization.
Rocuronium RSI Dose and Onset?
1.5 mg/kg, 1 minute
Vecuronium Dose?
0.08 - 0.1 mg/kg
Vecuronium Onset?
2 minutes
Vecuronium Peak?
2-3 minutes
Vecuronium Duration?
20-35 minutes
Vecuronium MOA?
Nicotinic Acetylcholine Receptor Antagonist - Binds to ONE of the alpha subunits of the Nicotinic Acetylcholine receptor on the Na Channel preventing depolarization.
Pancuronium Dose?
0.08-0.1 mg/kg
Pancuronium Onset?
1-3 minutes
Pancuronium Peak?
3-5 minutes
Pancuronium Duration?
60 -90 minutes
Pancuronium MOA?
Nicotinic Acetylcholine Receptor Antagonist - Binds to ONE of the alpha subunits of the Nicotinic Acetylcholine receptor on the Na Channel preventing depolarization.
Pancuronium Side Effects?
Increase HR due to Vagolysis at the postganglionic nerve synaps, Inhibits Plasmacholinesterase.
Cisatracurium Dose?
0.15-0.2 mg/kg
Cisatracurium Onset?
1 minute 30 seconds
Cisatracurium Duration?
20-35 minutes
Cisatracurium MOA?
Nicotinic Acetylcholine Receptor Antagonist - Binds to ONE of the alpha subunits of the Nicotinic Acetylcholine receptor on the Na Channel preventing depolarization.
Cisatracurium Metabolism?
Hoffman and Ester Hydrolysis
Cisatracurium Specific concerns?
Needs to be Refrigerated, Increase pH will increase metabolism
Rocuronium Metabolism?
Hepatic and Renal with Biliary excretion
Vecuronium Metabolism?
Hepatic and Renal with Biliary excretion
Pancuronium Metabolism?
Renal