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Patients must be sedated completely and have an artificial
airway during paralysis.
Carefully monitor the patient and
be prepared to resuscitate.
[Rx] has no effect on
consciousness or pain. [Rx] will not stop neuronal seizure activity
or decrease central nervous system damage caused by seizures.
Heart rate and cardiac output will be increased.
[Rx]
is excreted in the urine; doses should be decreased for patients
with renal disease.
Neuromuscular blocking agents result in
respiratory paralysis. Therefore, intubation and ventilatory support
must be readily available.
Pregnancy Safety: Category C
front 2
Succinylcholine (Anectine)
back 2
Special
Considerations
Appropriate sedation and analgesia should be used in any
patient before undergoing neuromuscular
blockade.
Time management is crucial.
Postintubation
sedation and analgesia should be readily available.
Pregnancy Safety: Category C
front 3
Vecuronium (Norcuron)
back 3
Special considerations:
Reconstituted [Rx], do not mixwith
alkaline solutions (e.g., barbiturate solutions such as thiopental)
in the same syringe or administer simultaneously during intravenous
infusion through the same needle or through the same intra- venous
line.
Pregnancy Safety: Category C
front 4
Ketamine (Ketalar)
back 4
Special Considerations
Contraindicated for use during pregnancy.
Use in
caution in older patients due to a higher risk of renal and fatal GI
adverse reactions.