• 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.

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

• Special Considerations:

Dosages:

Adults:

• IV 5mg

Pediatrics:

NOT Indicated

COG's

COG's - Rapid Sequence Intubation (google.com)