Pancuronium

dr.joandr.joan عضو ماسي
تم تعديل 2009/08/03 في أدوية الطوارئ Emergency drugs
Pancuronium :
Trade names: Pavulon
Class: Non-depolarizing muscle relaxants
Pregnancy: (Category C)
Action:
Pancuronium, is a non-depolarizing neuromuscular blocking agent that competes with acetylcholine for cholino- ceptive sites at the postjunctional membrane and thereby blocks competitively the transmitter action of acetylcholine resulting in muscle paralysis.
Uses:
Pancuronium bromide is indicated as an adjunct to general anesthesia to facilitate tracheal intubation and to provide skeletal muscle relaxation during surgery or mechanical ventilation.


Dose:
by intravenous injection, initially for intubation 50–100 micrograms/kg then 10–20 micrograms/kg as required; CHILD initially 60–100 micrograms/kg, then 10–20 micrograms/kg, Neonate 30–40 mic/kg initially then 10–20 micrograms/kg
Intensive care, by intravenous injection, 60 mic/kg every 60–90 minutes
Contraindications:
  • Hypersensitivity.
Side effects:
chest pain
fever
pain, redness, swelling or irritation at the injection site
shortness of breath, wheezing
unusual muscle weakness or tiredness
flushing (reddening of skin)
rash, itching
Nursing considerations:
May administered undiluted by rapid I.V injection as requested.
Monitor parameters ( Heart rate, blood pressure, assisted ventilation status, cardiac monitor, and ventilated required.
Nurse should not alter the pt's state of unconsciousness