• Class: neuromuscular blockade NON-depolarizing, ***RSI drug***

• Action: Antagonizes acetylcholine at the motor end plate producing skeletal muscle paralysis.

• Indications: To induce neuromuscular blockage for the facilitation of advanced airway / ET tube placement.

• Adverse Effects: muscle paralysis, apnea, dyspnea, respiratory depression, sinus tachycardia urticaria, hypertension

• Contraindications: Known sensitivity to bromides. Use caution in heart and liver disease patients.

• Special Considerations: Pregnancy Class B

Dosages:

Adults:

Paralysis:

• 1mg/kg IV/IO

Re-paralysis:

• 0.6mg/kg IV/IO

Pediatrics:

• NONE