Vecuronium (Norcuron)

Question 1

Class / Action

Answer 1

Paralytic. Non-Depolarizing neuromuscular blocker.

1. Provides skeletal muscle relaxation to facilitate endotracheal intubation

Question 2

Onset / Duration of Action

Answer 2

Onset 1min / Duration of 25-30min

Question 3

Indications

Answer 3

1. Maintenance of paralysis after intubation to assist ventilation during prolonged transport
2. May be used as initial paralytic if Succinylcholine is contraindicated and Rocuronium is not available

Question 4

Contraindications

Answer 4

Known Hypersensitivity

Question 5

Precautions

Answer 5

1. Elderly Patients
2. Patients with cardiovascular disease, hepatic disease, obesity, neuromuscular disease.
3. Do Not Mix with Alkaline Solutions
4. Prior administration of succinylcholine may enhance the neuromuscular blocking effect
5. Monitor Heart Rate Continuously

Question 6

Dosages / Administration

Answer 6

ADULT and PEDS: 0.1mg/kg IV/IO

NOTE: Do Not Mix with Alkaline Solutions

Question 7

Adverse Reactions

Answer 7

Prolonged dose related to respiratory insufficiency or apnea, Wheezing, Aspiration, Bradycardia, Sinus Arrest, Hyper- or Hypo-tension, Increase intraocular pressure