A nurse is caring for a patient who received a nondepolarizing neuromuscular blocker during a minor procedure
The patient begins to awake sooner than anticipated. The nurse suspects that the patient has received which medication that has the shortest duration of action?
a. Pancuronium
b. Rocuronium (Zemuron)
c. Vecuronium (Norcuron)
d. Mivacurium (Mivacron)
ANS: D
Mivacurium is the shortest acting nondepolarizing neuromuscular blocker, therefore the patient may wake sooner than anticipated.
Pancuronium, rocuronium, and vecuronium are intermediate blocking agents, not short-acting agents that would cause the patient to awaken sooner than expected.
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