rocuronium bromide

Question 1

rocuronium (class)

Answer 1

nondepolarizing neuromuscular blocking agent

Question 2

rocuronium (actions)

Answer 2

provides skeletal muscle relaxation including respiratory muscles and gag reflex

Question 3

rocuronium (indications 2)

Answer 3

rsi for paralysis when succinycholine is contraindicated or if prolonged transport time is anticipated

to maintain paralysis after adequate sedation has been provided

Question 4

rocuronium (dosage/route)

Answer 4

rsi: 1mg/kg IV/IO

maintenance dose: 0.2mg/kg IV/IO

Question 5

rocuronium (side effects)

Answer 5

transient hypo/hypertension

Question 6

rocuronium (contraindications)

Answer 6

hypersensitivity to the drug, other neuromuscular blocking agents or bromide

Question 7

rocuronium (special information 4)

Answer 7

use with caution in patient with neuromuscular disease or hepatic dysfunction

onset of action is 45 seconds and lasts for 30 minutes

has no effect on conscious pain. adequate amnesia/analgesia should always be used concurrently

produces minimal histamine release

Question 8

rocuronium (pediatric note)

Answer 8

refer to pediatric drug guide

not generally recommended for RSI in PEDs