Rocuronium PDF

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Rocuronium...

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Class: Neuromuscular blocker Generic name (trade name): Rocuronium MOA: Antagonizes motor endplate acetylcholine receptors (non-depolarizing neuromuscular blocker) Indications: provide airway paralysis for endotracheal intubation, surgical paralysis, provide chest wall relaxation for mechanical ventilation Contradictions/precautions: hepatic impairment, cerebral palsy, myasthenia gravis, pulmonary HTN, dehydration, impaired circulation, long term use, acid- base disorder Interactions: other neuromuscular blocking drugs Desired outcome: muscle relaxation, anesthesia for surgical use Common side effects: hypotension, transient, HTN, tachycardia Adverse side effects: anaphylaxis, bronchospasm, respiratory depression, apnea, arrythmia, prolonged paralysis, myopathy S/S Toxicity: N/A Overdose: maintain airway patency and ventilation until the muscles are recovered Nursing process: Follow the nursing process, make sure a thorough assessment is done. Address any confusion on adverse effects and Drug use. Make sure route and dosage are correct. Look for adverse effects, any possible drug interactions, proper baseline (pulse, BP, and weight) and to minimize adverse effects while maximizing its therapeutic effect. Assessment: check patient medical allergy history, check vital signs, check respiratory status Care/ implementation: check dosing, ECG, HR, and BP throughout, have an estimation for when the patient should recover from the effects to monitor for a potential overdose. Education: inform patient on the effects the drug will cause as well as the common side effects that are not severe to assure patient. Evaluation: muscles become relaxed, patient is in no pain, and the proper dosage has been administered...