Neuromuscular Blockers

Question 1

All Neuromuscular blockers

Answer 1

• Atracurium
• Cisatracurium (Nimbex*)
• Vecuronium

Question 2

Atracurium (start, titrate, max dose)

Answer 2

Start @ 2 mcg/kg/min (physician ordered bolus 300-500 mcg/kg)
Titrate 2mcg/kg/min every 5 min
Max dose 15 mcg/kg/min

Question 3

Cisatracurium (start, titrate, max dose)

Answer 3

Start @ 1 mcg/kg/min (Physician order bolus 150-200 mcg/kg)
Titrate 0.5 mcg/kg/min every 5 min
Max dose 10 mcg/kg/min

Question 4

Vecuronium (start, titrate, max dose)

Answer 4

Start @ 0.1 mcg/kg/min (Physician ordered bolus up to 10 mg)
Titrate 0.1 mcg/kg/min every 5 min
Max dose 1.2 mcg/kg/min