NMBD (ch. 11) Flashcards
1
Q
Succinylcholine (Diacetylcholine or Suxamethonium) type of NMB onset duration effects contraindication
A
depolarizing onset: 30-60sec duration: 5-10min never infuse, single-dose bolus fasiculations, increase potassium by 0.5 mEq/L, MH, increase ICP, histamine release burn, tbi, hyperkalemia, AKI
2
Q
Pancuronium (longest acting) type of NMB onset duration elimination effects
A
non-depo onset: 1-2min duration: 60-75min liver, renal (renal failure = prolong effect) CVS: HTN, tachycardia
3
Q
Rocuronium (intermediate) type of NMB onset duration elimination effects
A
non-depo onset: 2-4min duration: 30-40min elimination: kidneys no CVS effects prolonged in elderly
4
Q
Cisatracurium type of NMB onset duration metabolism effects
A
non-depo
onset: 2min
duration: 20-35min
metabolism: Hoffman elimination in plasma
effects: no histamine, no CVS
5
Q
Mivacurium type of NMB onset duration metabolism elimination effects
A
non-depo onset: 2-3min duration 20-30min metabolism: pseudocholinisterase elimination: kidney histamine release minimal CVS effects CANNOT use neostigmine
