Rocuronium (Zemuron)

Question 1

Rocuronium classification

Answer 1

Nondepolarizing neuro-muscular blocker

Question 2

Rocuronium action

Answer 2

Skeletal muscle relaxation to facilitate ET intubation

Question 3

Rocuronium onset and duration

Answer 3

1. 60 seconds

2. 40-60 minutes

Question 4

Rocuronium indication

Answer 4

1. maintenance of paralysis post intubation
2. Initial paralysis for patients with contraindications to succinylcholine (crush injury, malignant hyperthermia, hyperkalemia, muscular dystrophy)

Question 5

Rocuronium contraindication

Answer 5

Hypersensitivity

Question 6

Rocuronium precautions

Answer 6

Prolonged paralysis in patients with nero muscular disease such as myasthenia gravis or myasthenic syndrome

Question 7

Rocuronium dosage and administration

Answer 7

Adult and Pediatric: 1mg/kg IV/IO push

Question 8

Rocuronium adverse reaction

Answer 8

1. May cause tachycardia

2. May cause temporary hypotension or hypertension

Question 9

Rocuronium reference in protocol

Answer 9

RSI
Trauma (crush injury)
Cardiac (therapeutic hypothermia)