Vecuronium

Question 1

Vec: Generic Name

Answer 1

Vecuronium Bromide

Question 2

Vec: Trade Name

Answer 2

Norcuron

Question 3

Vec: Class

Answer 3

Neuromuscular blocker, nondepolarizing

Question 4

Vec: Action

Answer 4

Neuromuscular agent with intermediate duration of action that competes with acetylcholine for receptors at the motor end plate, resulting in neuromuscular blockade.

Question 5

Vec: Indications

Answer 5

RSI

Question 6

Vec: Contraindications

Answer 6

Acute narrow-angle glaucoma, penetrating eyes injuries, inability to control airway or support ventilations with oxygen and positive pressure, newborns, myasthenia gravis, hepatic or renal failure.

Question 7

Vec: S. E.

Answer 7

Weakness, prolonged neuromuscular block, bronchospasms, apnea, dysrhythmias, bradycardia, tachycardia, PVCs, transient hypotension, cardiac arrest, excessive salivation

Question 8

Vec: Supplied

Answer 8

10- and 20-mg powder (requires reconstitution before administration).

Question 9

Vec: Adult Dose

Answer 9

Adult: 0.1-0.2 mg/kg IVP

Maintenance dose within 45-60 minutes: 0.8-1.2 mg/kg IVP

Question 10

Vec: Pedi Dose

Answer 10

Pediatric: 0.1-0.3 mg/kg IV/IO.

Maintenance dose within 20-35 minutes: 0.01-0.05 mg/kg IV/IO push.

Question 11

Vec: Considerations

Answer 11

If pt is conscious, explain the effect of medication before administration and always sedate before. Intubation and ventilatory support must be readily available. Monitor carefully. Has no effect on consciousness and pain. Will not stop neuronal seizure activity. Pulse rate and cardiac output are ↑. ↓ doses for pt with renal failure.