Succinylcholine Flashcards

1
Q

Brand name of Succinylcholine

A

Anectine

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2
Q

Drug class of Succinylcholine

A

Neuromuscular blocker, depolarizing; skeletal muscle relaxant

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3
Q

Indications of Succ.

A

Rapid Sequence Intubation (RSI)

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4
Q

Mechanism of Action of Succ.

A

Ultra-short-acting depolarizing skeletal muscle relaxant that mimics acetylcholine as it binds with the cholinergic receptors on the motor end plate, producing a phase 1 block as manifested by fasciculations.

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5
Q

Contraindications of Succ.

A

Acute narrow-angle glaucoma, penetrating eye injuries, malignant hyperthermia. Acute injury after multisystem trauma, major burns, or extensive muscle injury. Inability to control airway or support ventilation with oxygen and positive pressure.

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6
Q

Adverse effects of Succ.

A

Apnea, respiratory depression, bradydysrhythmia, tachydysrhythmia, dysrhythmia, cardiac arrest, salivation, prolonged muscle rigidity, rhabdomyolysis, malignant hyperthermia, increased intraocular pressure, hyperkalemia (trauma patients)

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7
Q

Precautions of Succ.

A

Oxytocin, Beta Blockers and Organophosphates

May potentiate effects, diazepam can reduce duration of action

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8
Q

Adult and pediatric dose and admin of Succ.

A

Adult: 1 to 1.5 mg/kg rapid IV. Repeat once if needed.
Pedi: 1 to 1.5 mg/kg rapid IV/IO
Onset of 1 minute, Peak 1 to 3 minutes, Duration 5 to 10 minute

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