Rocuronium (Zemuron)

Question 1

Class / Action

Answer 1

Paralytic. Non-depolarizing neuromuscular blocker

1. Provides skeletal muscle relaxation to facilitate endotracheal intubation

Question 2

Onset / Duration

Answer 2

Onset 60sec / Duration 40-60min

Question 3

Indications

Answer 3

1. To facilitate ET Intubation in patients with an intact gag reflex
2. Maintenance of paralysis after intubation to assist ventilation during prolonged transport

Question 4

Contraindications

Answer 4

Known Hypersensitivity

Question 5

Precautions

Answer 5

Patients with neuromuscular diseases such as myasthenia gravis or myasthenia syndrome may have prolonged periods of paralysis

Question 6

Dosages / Administration

Answer 6

1. ADULTS: 1mg/kg IV/IO Push
2. PEDS: 1mg/kg IV/IO Push

NOTE: MUST Be Stored Under Manufacturer’s Instructions.

Question 7

Adverse Reactions

Answer 7

1. May cause tachycardia in up to 30% of patients

2. May cause temporary hypotension or hypertension