A client is scheduled for surgery to repair an abdominal aortic aneurysm. Which neuromuscular blocking agents will be the best choice for this client?
Standard Text: Select all that apply.
1. Tubocurarine
2. Mivacurium (Mivacron)
3. Pancuronium (Pavulon)
4. Vecuronium (Norcuron)
5. Succinylcholine (Anectine)
Correct Answer: 1,2,3,4
Rationale 1: Tubocurarine is used as an adjunct to anesthesia to cause complete skeletal muscle relaxation of the abdominal muscles during operative procedures.
Rationale 2: This is a short-acting nondepolarizing neuromuscular blocking agent that can be used as a continuous infusion for this surgical procedure.
Rationale 3: This is an intermediate-acting nondepolarizing neuromuscular blocking agent that can be used for this surgical procedure.
Rationale 4: This is an intermediate-acting nondepolarizing neuromuscular blocking agent that can be used for this surgical procedure.
Rationale 5: This is a depolarizing neuromuscular blocking agent that is used for short procedures and would not be indicated for an abdominal aortic aneurysm repair.
Global Rationale: Tubocurarine is used as an adjunct to anesthesia to cause complete skeletal muscle relaxation of the abdominal muscles during operative procedures. Mivacurium (Mivacron) is a short-acting nondepolarizing neuromuscular blocking agent that can be used as a continuous infusion for this surgical procedure. Pancuronium (Pavulon) is an intermediate-acting nondepolarizing neuromuscular blocking agent that can be used for this surgical procedure. Vecuronium (Norcuron) is an intermediate-acting nondepolarizing neuromuscular blocking agent that can be used for this surgical procedure. Succinylcholine (Anectine) is a depolarizing neuromuscular blocking agent that is used for short procedures and would not be indicated for an abdominal aortic aneurysm repair.
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