Neuromuscular blocking drugs Flashcards

1
Q

what is the neurotransmitter at skeletal junctions

A

ACh
targets nicotinic receptors
type 1 - ion channel linked

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2
Q

what is tubocurarine and how does it work

A

non-depolarising competitive antagonist of ACh
(neuromuscular blocking drug)
prevents action potential ignition at motor end plate
causes log dose curve to be shifted right
used during surgery

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3
Q

what is suxamethonium and how does it work

A

neuromuscular blocking drug
extends EP depolarisation leading to depolarisation block
used as a muscle relaxant in ECT or for endotracheal intubation

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4
Q

what are the unwanted effects of neuromuscular blocking agents

A
hypotension 
alterations in HR
broncospasm 
apnoea 
excessive secretions
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