Vecuronium

Question 1

Vecuronium (class)

Answer 1

nondepolarizing neuromuscular blocking agent

Question 2

Vecuronium (actions 2)

Answer 2

skeletal and respiratory muscle paralysis

prevents neuromuscular transmission by blocking ACH at neuromuscular junction

Question 3

Vecuronium (indications 3)

Answer 3

RSI

skeletal muscle paralysis to fascilitate ET

RSI where succinycholing is contraindicated

Question 4

Vecuronium (dosage/route 2)

Answer 4

0.1mg/kg IVP initial dose

may repeat prn

Question 5

Vecuronium (side effects 3)

Answer 5

prolonged paralysis

bradycardia, hypotension, and arrhythmias

excessive salivation

Question 6

Vecuronium (contraindications)

Answer 6

known hypersensitivity

Question 7

Vecuronium (special information 10)

Answer 7

should not be administered unless persons skilled in ET are present

ET equipment must be available and working

O2 equipment, ventilatory management equipment, and emergency resuscitative equipment/drugs must be available

paralysis occurs within 2-3 minutes and lasts 30-45 minutes

reconstitute with bacteriostatic water

has no effect on conscious pain. adequate anesthesia should always be used concurrently

can be used to maintain paralysis after intubation

use in cautions with renal or hepatic impairment/failure, peds, and elderly

can cause vagal stimulation resulting in bradycardia, hypotension, and arrythmias

cannot be given IM

Question 8

Vecuronium (pediatric note2)

Answer 8

dosage 0.1mg/kg

do not use in infants <7 weeks