ROC

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Which patients are contraindicated for the use of Rocuronium bromide?

Patients with known significant hepatic disease

Patients with anticipated difficult airway (correct)

Patients with valvular heart disease

Patients with pulmonary hypertension

What is the mechanism of action of Rocuronium bromide?

Acts by inhibiting acetylcholinesterase

Competes with acetylcholine for cholinergic receptors at the motor end plate (correct)

Acts by enhancing acetylcholine synthesis

Acts on the central nervous system

What precautions should be taken prior to administering Rocuronium when a patient has been given succinylcholine?

Anticipate a weaker neuromuscular blocking effect of Rocuronium

Expect a faster than normal onset of action for Rocuronium

Be prepared for an enhanced neuromuscular blocking effect and prolonged action of Rocuronium (correct)

Avoid the use of Rocuronium altogether

What is the duration of action of Rocuronium bromide?

20 - 60 minutes Signup and view all the answers

In what order do muscles tend to be affected by Rocuronium bromide, starting from the first affected to the last?

Eyes, face, neck, limbs, abdomen, chest, diaphragm Signup and view all the answers

What are the onset and peak effect times for Rocuronium bromide?

< 2 minutes onset, 1 - 3 minutes peak effect Signup and view all the answers

What is the most appropriate precaution in patients with known significant hepatic disease when using Rocuronium bromide?

Use Rocuronium cautiously with continuous airway control Signup and view all the answers

Which area of the body is typically affected last by Rocuronium bromide?

Diaphragm Signup and view all the answers

Why is it important to pre-medicate patients with a sedative before administering Rocuronium bromide?

To ensure the patient remains conscious while paralyzed Signup and view all the answers

In what order do muscles tend to recover from the effects of Rocuronium bromide?

Neck, abdomen, limbs Signup and view all the answers

Which patients should avoid using Rocuronium bromide based on the given information?

Patients with valvular heart disease Signup and view all the answers

What effect does succinylcholine have on the action of Rocuronium bromide?

Enhances its neuromuscular blocking effect Signup and view all the answers

Why should supportive airway control be continuous and under direct observation when using Rocuronium bromide?

To ensure adequate oxygenation and ventilation Signup and view all the answers

What is the primary advantage of pre-medicating a patient with a sedative before using Rocuronium bromide?

To maintain consciousness despite paralysis Signup and view all the answers

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