ROC
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Questions and Answers

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?

<p>20 - 60 minutes (B)</p> 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?

<p>Eyes, face, neck, limbs, abdomen, chest, diaphragm (B)</p> Signup and view all the answers

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

<p>&lt; 2 minutes onset, 1 - 3 minutes peak effect (C)</p> Signup and view all the answers

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

<p>Use Rocuronium cautiously with continuous airway control (C)</p> Signup and view all the answers

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

<p>Diaphragm (D)</p> Signup and view all the answers

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

<p>To ensure the patient remains conscious while paralyzed (D)</p> Signup and view all the answers

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

<p>Neck, abdomen, limbs (A)</p> Signup and view all the answers

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

<p>Patients with valvular heart disease (B)</p> Signup and view all the answers

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

<p>Enhances its neuromuscular blocking effect (A)</p> Signup and view all the answers

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

<p>To ensure adequate oxygenation and ventilation (D)</p> Signup and view all the answers

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

<p>To maintain consciousness despite paralysis (B)</p> Signup and view all the answers

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