NEUROMUSCULAR BLOCKING DRUGS

Question 1

Two types of NMBDs

Answer 1

Depolarizing
Nondepolorizing

Question 2

NMBDs function

Answer 2

Prevent nerve transmission in certain muscles, resulting in muscle paralysis
-Paralyze respiratory and skeletal muscles

Question 3

Depolarizing NMBD

Answer 3

Succinylcholine

Question 4

Nonpolarizing NMBDs

Answer 4

Vecuronium

Question 5

Anesthetics and NMBDs priority nursing implications

Answer 5

Airway
Vitals (respiratory depression and cardiac depression)
Malignant hyperthermia
Electrolytes

Question 6

Depolarizing NMDs

Answer 6

First sensation in muscle weakness
Followed by total flaccid paralysis
Small, rapidly moving muscles affected first (fingers, eyes), then limbs, neck, trunk
Finally, intercostal muscles and diaphragm affected resulting in cessation of respirations