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Neuromuscular Blockers – High-alert Medications (Nursing)
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Slides Nursing Pharmacology ISMP High Risk Medications.pdf
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Reference List Pharmacology Nursing.pdf
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Download Lecture Overview
00:00 So neuromuscular blockers. 00:02 Okay, these are intense medications. 00:06 They'll paralyze a patient's skeletal muscles. 00:09 It's great during surgery or difficult intubation cuz they wanna have to mess with that gag reflex but here's the deal, the diaphragm is a thin skeletal muscle so neuromuscular blockers paralyze skeletal muscles. 00:24 It parallels my diaphragm. You know how the diaphragm works. 00:28 It pulls down, it creates negative pressure, my lungs can fill up. 00:32 If it's paralyzed, my diaphragm can't move and I cannot breath on my own. 00:39 So patients, if they receive a neuromuscular blocker, you can see why it's high risk. 00:44 They won't be able to breathe. They have to have a ventilator to breathe for them. 00:48 Now as examples, succinylcholine, sometimes people call it 'sux'. 00:52 You've got rocuronium or vecuronium. 00:55 Those are just 3 examples both non-depolarizing and depolarizing. 00:59 They have different lengths of time that they last but all 3 of them will knock out your patient's ability to breathe.
About the Lecture
The lecture Neuromuscular Blockers – High-alert Medications (Nursing) by Rhonda Lawes, PhD, RN is from the course Medication Safety (Nursing).
Included Quiz Questions
What statements are true about neuromuscular blockers? Select all that apply.
- Neuromuscular blockers are used during intubations and surgery
- Neuromuscular blockers paralyze the skeletal muscles
- Neuromuscular blockers block the client's ability to use their diaphragm
- Neuromuscular blockers are used for sedation
- Neuromuscular blocker administration does not require the client to be on a ventilator
Author of lecture Neuromuscular Blockers – High-alert Medications (Nursing)
Rhonda Lawes, PhD, RN
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