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Details

NM blockers/relaxants
Test 2
13
Pharmacology
Professional
02/20/2010

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Cards

Term
d-Tubocurarine
Definition
-Competitive agonst at Nicotinic receptors (NM jxn)
Non depolarizing NM blocker
Term
Sequence of paralysis
Definition
-Fine movements
-Limbs
-Trunk
-Intercostals
-Diaphragm
Term
Non-depolarizing NM blockers
Definition
-Block Ach binding to nicotinic receptors and NM jxn
Term
Ganglionic blockade
Definition
Get decreased BP
Get more w/ d-TP than with pancuronium than with atracurium and vecuronium
Term
Pancuronium
Definition
Non-depolarizing NM blocker
-Long Half-life
-Not good for renal failure (real long half-life)
Term
Vecuronium
Definition
Non-depolarizing NM blocker
-Intermediate duration of action
Term
Atracurium
Definition
Non-depolarizing NM jxn
-Spontaneous breakdown (hoffman elimination)
-Good for elderly and decreased Renal Fxn (because doesn't need to be cleared)
Term
Mivacurium
Definition
Non-depolarizing NM blocker
-Cleared by plasma esterases (taken off market)
Term
Depolarizing NM blockers
Definition
-Shortest time of onset and short duration of action
Two phases of Block
1) Endplate is depolarized (cholinesterase inhib intensify block)
2)Partially repolarized (cholinesterase inhib partially reverse block)
Term
Sfx of Succinylcholine
Definition
Depolarizing NM blocker
-Myalgia
-K+ release (arrhythmias)
-BEWARE with Burn patients
-If they have atypical pseudocholinesterase, get prolonged paralysis
-Malignant hyperthermia
Term
Baclofen
Definition
GABA agonist (Skeletal muscle relaxant)
Tx: Spasticity w/ MS/spinal cord injury, trigeminal neuralgia
Term
Dantrolene
Definition
Inhibits Ca++ release from SR in skeletal muscle
Tx: treatment of malignant hyperthermia
Term
Succinylcholine
Definition
-Depolarizing NM blocker
-Dont use with cholinesterase inhibitors (can't predict)
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