Succinylcholine

Question 0

Trade Name

Answer 0

Anectine

Question 1

Generic Name

Answer 1

succinylcholine

Question 2

Class

Answer 2

Depolarizing neuromuscular blocker

Question 3

Mechanism of Action

Answer 3

Acts as acetylcholine in the synaptic cleft of the neuromuscular junction, causing depolarization, which blocking neuromuscular transmission, resulting in muscle paralysis

Question 4

Indications

Answer 4

to facilitate intubation

Question 5

Contraindications

Answer 5

hypersensitivity, penetrating eye injuries, narrow-angle glaucoma, inexperienced provider, post-acute burn/crush injuries, personal or family history of malignant hyperthermia

Question 6

Adverse Reactions

Answer 6

muscle fasciculations, fractures, cardiac arrest, ventricular dysrhythmias, hyperkalemia, wheezing, respiratory depression, apnea, aspiration, hypotension, bradycardia

Question 7

Dose -> Adult

Answer 7

1-1.5mg/kg max 100mg

Question 8

Dose -> Pediatric

Answer 8

1mg/kg

Question 9

Route

Answer 9

IV/IO and IM (not ideal)

Question 10

Special Considerations

Answer 10

• Does not affect LOC! Sedate first!
• enhanced by lido, procanimide, beta blockers, mag sulfate and other NMBS
• have tube kit ready to go
• lasts 2-3 mins