| Non Depolarizing NMBAs | Depolarizing NMBAs | Indications & Safety | Nursing Care Related to NMBAs |
|---|---|---|---|
|
What are Rocuronium, Cisatracurium,
Two examples of Non Depolarizing NMBAs routinely given in ICU are:
|
What is Succinylcholine?
An example of a Depolarizing NMBA is:
|
What is facilitate intubation, mechanical ventilation, surgical/diagnostic procedures, control increasing ICP, control increasing IAP, treating shivering induced by therapeutic hypothermia?
Name at least three clinical indications for administration of NMBAs:
|
What is analgesia and sedation
Patients must always have these two classes of drugs administered in conjunction with NMBAs:
|
|
What is administering anticholinergic agent (atropine) first and then an anticholinesterase agent (neostigmine) second?
Reversal of Non-Depolarizing NMBAs is achieved by:
|
What is increases serum potassium level and should not be used for patients with burns, crush injuries, paraplegics, ALS
Serious adverse effects associated with some depolarizing NMBAs include:
|
What is the patient must be put on a full support mode of ventilation?
RTs must be made aware when NMBAs are administered because:
|
What is q4h unless ordered more frequently?
Pupil checks must be assessed at a minimum of:
|
|
What is 1 minute for time of onset and 30-60 minutes for duration of action?
The time of onset and duration of action for Rocuronium is:
|
What is 40-60 seconds time of onset and 5-15 minutes for duration of action?
Time of onset for succinylcholine and duration of action is:
|
What is resistance and compliance?
NMBAs can benefit mechanically ventilated patients by reducing airway________ and increasing lung __________.
|
What is q2h unless ordered more frequently?
Eye care must be done a minimum of:
|
|
What is 5-7 minutes for time of onset and 45-60 minutes for duration of action?
The time of onset and duration of action for Cisatracurium is:
|
Waiting until the drug is metabolized (Wait until effects wear off)?
Reversal of a Depolarizing NMBA is achieved by:
|
What is a sign indicating that the patient is on a NMBA?
This must be present on patients on a continuous NMBA infusion but is not required for patients receiving NMBA for a procedure.
|
What is repositioned and skin care given at a minimum q2h and PRN
In order to maintain skin integrity, patient must be:
|
|
What is Hoffman Elimination (independent of kidney/liver organ function)?
Cisatracurium is preferred for continuous infusions because:
|
What are aminoglycosides (Clindamycin, Tobramycin, and Gentamycin)?
The following class of medications can increase the duration of action of succinylcholine:
|
What is ventilator synchrony is improved and alveolar barotrauma and inflammation is reduced.
Administration of NMBAs early in the course of severe ARDS has been shown to improve patient outcomes. This is likely because:
|
What is lacrimation, hypertension and tachycardia may be a sign of awareness/wakefulness?
The best indication that more analgesia/sedation is required for a patient on a NMBA infusion is:
|
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