Review

Question 1

Your patient requires muscle relaxant for intubation. What are your options and the dosages you should use?

Answer 1

1) Succinylcholine: 1.0 - 1.5 mg/kg
2) Rocuronium: 0.6 - 1.2 mg/kg
3) Cisatracurium: 0.1 - 0.15 mg/kg

Question 2

Your patient is shivering in the PACU. What is the first thing you reach for?

Answer 2

Demerol (Merperidine)

Question 3

Which opioid is notorious for its anti-muscarinic effects?

Answer 3

Demerol (atropine-like effects)

Question 4

Metabolite of demerol? What can it cause?

Answer 4

Normeperidine; can cause seizure activity in patients with renal failure

Question 5

What is the pediatric dosage of Zofran?

Answer 5

0.1 mg/kg

Question 6

Mechanism of action of zofran?

Answer 6

5-HT3 (serotonin) antagonist

Question 7

Which type of neuromuscular drug causes a histamine release?

Answer 7

Atracurium

Question 8

You gave your patient a muscle relaxant, and now they are exhibiting an increase in HR, a decrease in BP, and a bronchospasm. Which muscle relaxant did you most likely give?

Answer 8

Atracurium; reaction d/t histamine release

Question 9

Which muscle relaxant is most likely to cause tachycardia?

Answer 9

Pancuronium

Question 10

Which muscle relaxant is most likely to cause bradycardia?

Answer 10

Sux