NMB section and Reversal section Flashcards
Sugammadex vial
100mg/ml
Sugammadex Dose
2 mg/kg (2 twitches), 4 mg/kg (no twitches), 16mg/kg (3 mins after induction)
Sugammadex Onset
Fast
Sugammadex Peak
Fast
Sugammadex Duration
Depends on dose
Sugammadex T1/2B
120 min
Sugammadex Elimination
Renal
Sugammadex MoA
y-cyclodextrin complexes with Rocuronium and Vecuronium
Glycopyrrolate (reversal adjunct) vial
0.2mg/ml
Glycopyrrolate (reversal adjunct) Dose
0.2 mg per mg of neostigmine
Glycopyrrolate (reversal adjunct) Onset
1 min
Glycopyrrolate (reversal adjunct) Peak
5 min
Glycopyrrolate (reversal adjunct) Duration
2-3 hours
Glycopyrrolate (reversal adjunct) T1/2B
80 min
Glycopyrrolate (reversal adjunct) Elimination
Hep/Renal
Glycopyrrolate (reversal adjunct) MoA
Anitmuscarinic
Neostigmine Vial
1mg/ml
Neostigmine Dose
0.02-0.07 mg/kg
max 5mg
Neostigmine Twitches dosing
2-3 twitches = 0.05 mg/kg, 4 twitches with fade= 0.04 mg/kg, 4 twitches with no fade = 0.015-0.025 mg/kg
Neostigmine Onset
1-5 min
Neostigmine Peak
5 min
Neostigmine Duration
60-120 min
Neostigmine T1/2B
60-120 min
Neostigmine Elmination
Hep/Plasma Cholinesterases
Neostigmine MoA
Anticholinesterase
Cisatracurium Vial
2 mg/ml
Cisatracurium Intub
0.1-0.2 mg/kg
Cisatracurium Maint
0.02 mg/kg
Cisatracurium Onset
2-3 min
Cisatracurium Peak
3-5 min
Cisatracurium Duration
30 min
Cisatracurium T1/2B
30 min
Cisatracurium Elimination
Hofmann
Cisatracurium MoA
Nicotinic M Antagonist (Nn, presynaptic)
Vecuronium Vial
1 mg/ml
Vecuronium intub
0.1 mg/kg
Vecuronium Maint
0.05 mg/kg
Vecuronium Onset
2-3 min
Vecuronium Peak
3-5 min
Vecuronium Duration
30 min
Vecuronium T1/2B
1-1.25 hours
Vecuronium Elimination
Renal/Hep
Vecuronium MoA
Nicotinic M Antagonist (Nn presynaptic)
Rocuronium Vial
10mg/ml
Rocuronium Intub
0.6-1.2 mg/kg (RSI=1.2 mg/kg)
Rocuronium Maint
0.15 mg/kg
Rocuronium Onset
60-120 secs (1 min RSI)
Rocuronium Peak
1-3 min (1 min RSI)
Rocuronium Duration
30-85 min
Rocuronium T1/2B
1.4 hours
Rocuronium Elimination
Renal/Hep
Rocuronium MoA
Nicotinic M Antagonist (Nn presynaptic)
Succinylcholine vial
20 mg/ml
Succinylcholine Intub
1 - 1.5 mg/kg (1.5 mg/kg with all defasciculation dose of NMB
Succinylcholine Onset
30-60 sec
Succinylcholine Peak
60 sec
Succinylcholine Duration
4-6 min
Succinylcholine T1/2B
1 min
Succinylcholine Defasciculate
Defasciculate with 10% ED95, usually we give 0.03 - 0.06 mg/kg of Roc; 3-5 min before intubating dose
Succinylcholine MoA
ACh agonist
Succinylcholine Elimination
plasma cholinesterase