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Pharmacology
Neuromuscular Blockers
| Question | Answer |
|---|---|
| Define NMB | Cholinergic antagonists that act on the N2 receptors found on skeletal muscle |
| What are NMBs used for? | Primarily used for skeletal muscle paralysis during: abdominal & thoracic surgery, mechanical ventilation, and intubation |
| Define Non-Depolarizing NMBs and how they work. | Are competitive antagonists with ACh at the N2 receptor. Receptor stimulation keeps Na+ ion channels closed, so skeletal muscle cell depolarization DOES NOT occur. |
| Pavulon | Pancuronium (Non-depol. NMB) |
| Zemuron | Rocuronium (Non-depol. NMB) |
| Tracrium | Atracurium (Non-depol. NMB) |
| Nimbex | Cisatracurium (Non-depol. NMB) |
| Define Depolarizing NMBs and how they work. | Acts like endogenous Ach, allowing depolarization, but prevents repolarization. Na+ channels are kept open for a longer than normal time. Results in "flaccid" paralysis. (short-acting & no reversal agent). |
| Anectine | Succinylcholine (Depolarizing NMB) |