Neuromuscular Blockers – High-alert Medications (Nursing)

by Rhonda Lawes

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    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 is from the course Medication Safety (Nursing).

    Included Quiz Questions

    1. Neuromuscular blockers are used during intubations and surgery
    2. Neuromuscular blockers paralyze the skeletal muscles
    3. Neuromuscular blockers block the client's ability to use their diaphragm
    4. Neuromuscular blockers are used for sedation
    5. Neuromuscular blocker administration does not require the client to be on a ventilator

    Author of lecture Neuromuscular Blockers – High-alert Medications (Nursing)

     Rhonda Lawes

    Rhonda Lawes

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