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Neuromuscular blockers
Pharmacology
21
Medical
Professional
01/16/2012

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Cards

Term
what are NMJ blockers aiming at
Definition
Ach
Term
NMBs effect on CNS
Definition
NO effects: analgesia, amnesia, or hypnosis
Term
mech of action of dTC
Definition
compete w/Ach at the alpha subunit, inactivating 1 of them
Term
Steroid NDBDs
Definition
Vecuronium, Rocuronium, Pancuronium
Term
disadvantage of vecuronium
Definition
long term use leads to a prolonged paralysis
Term
This steroid depends heavily on renal metabolism
Definition
Pancuronium
Term
Benzylisoquinolinium cmpds
Definition
Cisatracurium and Mivacurium
Term
Benz w/shorter half life: Miva or Cisa
Definition
Mivacurium
Term
How is Cisa metabolized
Definition
Hoffman degradation
Ester hydrolysis
Term
How is miva metabolized
Definition
cholinesterases
Term
disadvantage of Miva
Definition
histamine release at high dose
Term
Sch mech of action
Definition
binds to both Ach subunits causing muscle fasiculations.
Term
What is the NMB of choice for rapid intubation
Definition
Sch- prevents vomiting and aspiration
Term
side effects of Sch
Definition
hyperkalemia
post op myalgia
incr. ICP
malignant hyperthermia
Ach like effects
Term
what are the two phases of blockade
Definition
Phase I: prolonged depolarization (Sch)
Phase II: repolarized but blocked (NDNBs)
Term
mech of action for neostigmine, pyridostigmine and edrophonium
Definition
neo and pyri- hydrolyzed by cholinesterase

edrophonium: forms an electrostatic bond to cholinesterase
Term
Onset time of cholinesterase inhibs from shortest to longest
Definition
Edro, Neo, Pyri
Term
the most frequently used antimuscarinic drugs
Definition
Atropine (edrophonium) and glycopyrrolate
Term
This antagonizes Rocuronium
Definition
Sugmmadex
Term
what is malignant hyperthermia precipitated by?
Definition
inhaled agents and Sch
hypermetabolism due to incr Ca release
Term
Treatment of hyperthermia
Definition
dantrolene
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