Skeletal Muscle Relaxants Flashcards
Neuromuscular paralysis that results from persistent depolarization of the end plate
Depolarizing or Stabilizing Blockade
SUCCINYLCHOLINE
Competitive antagonists at the acetylcholine receptor end plate
Nondepolarizing Neuromuscular Blockers
TUBOCURARINE MIVACURIUM ATRACURIUM CISATRACURIUM VECURONIUM ROCURONIUM PANCURONIUM
Skeletal muscle relaxants that undergo HOFFMAN ELIMINATION
rapid spontaneous breakdown – yielding LAUDANOSINE – SEIZURES
ATRACURIUM
CISATRACURIUM
Causes reversal of effects of Atracurium and Cisatracurium
NEOSTIGMINE
Neuromuscular blockers considered as DOC for hemodynamically compromised patients
CISATRACURIUM
VECURONIUM
ROCURONIUM
Novel reversal agent specifically for ROCURONIUM
SUGAMMADEX
Drugs used in LETHAL INJECTION
Thiopental - 5 g
Pancuronium - 100 mg
Potassium chloride - 100 mEq
NMB choice for RAPID SEQUENCE INDUCTION
SUCCINYLCHOLINE
Measure of the ability of a patient to metabolize succinylcholine/mivacurium
Reflects the QUALITY of cholinesterase enzyme
Dibucaine number
MOA of BACLOFEN
centrally acting spasmolytic drugs
GABAb AGONIST
for severe spasticity d.t. cerebral palsy, multiple sclerosis, stroke
MOA of DANTROLENE
direct acting muscle relaxant
blocks RyR1 calcium release channels in the sarcoplasmic reticulum of the skeletal muscle
MOA of EPERISONE
antispasmodic drug which RELAXES both skeletal and vascular smooth muscles and reduces myotonia, improves circulation and suppresses pain reflex
Drugs used in Lethal Injection
TPP
Thiopental
Pancuronium
Potassium chloride
Succinylcholine + Halothane can cause
MALIGNANT HYPERTHERMIA
Treatment for Malignant Hyperthermia
Dantrolene