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Pharm Exam 2: Neuromuscular Junction Blockers
N/A
4
Pharmacology
Professional
10/06/2012

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Cards

Term
Pancuronium
Definition
  • Competitive
  • Long duration of aciton (2-3hr)
  • Renal elimination; incr. t1/2 with renal disease
  • little ganglionic blockade
  • No histamine release
  • Blocks muscarinic receptors (tachycardia)
Term
Atracurium
Definition
  • Competitive
  • Immediate duration (.5-1hr)
  • Spontaneous degredation: enough to elim from body (temp, pH dependent)
  • Also have hydrolysis, renal elimination; t1/2 is NOT increased with renal disease
  •  Little/no ganglionic blockade
  • Promotes histamine release
Term
Mivacurium
Definition
  • Competitive
  • Short duration of action (15m)
  • Rapid hydrolysis; t1/2 is NOT increased with renal disease
  • little/no ganglionic blockade
  • promotes histamine release
Term
Succinylcholine
Definition
  • Depolarizing NMJ blocker
  • 2 ACh linked together; mimics ACh activity
  • Resistant to AChE
  • NOT pharmacologically reversible
  • Rapid onset (1m), short duration (5m)
  • Rapidly hydrolyzed
  • Useful for rpaid and short lived NMJ blockade
  • Some histamine release, no ganglionic blockade
  • Hyperkalemia possible from sk mm K+ release
  • AVOID WITH SOFT TISSUE DAMAGE/BURNS
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