Nagelhout Pharm 2-Final Questions and Verified Answers, 100% Guarantee Pass (Latest 2025) Ultra short acting Depolarizing neuromuscular blocker (Length of duration) - Correct Answers ✅Succinylcholine (5 - 15 minutes) Short Acting Nondepolarizing NMBs (Length of duration) - Correct Answers ✅Mivacurium (20-30 minutes) Intermediate Acting Nondepolarizing NMBs (4) (Length of duration) - Correct Answers ✅Atracurium Cisatracurium Vecuronium Rocuromium (30-60 minutes) Long Acting Nondepolarizing NMB (Length of duration) - Correct Answers ✅Pancuronium (60-90 minutes) NMB Reversal Agents (3) - Correct Answers ✅Neostigmine Edrophonium Sugammadex 1 / 4
Nagelhout Pharm 2-Final Questions and Verified Answers, 100% Guarantee Pass (Latest 2025) NMBs work at ____ receptors - Correct Answers ✅Nicotinic Cholinergic (sub-m) Nicotinic Cholinergic (sub-m) use positive or negative feedback? - Correct Answers ✅Positive feedback. This explains fade with NDMBs.Neurotransmitter of the NM junction - Correct Answers ✅acetylcholine Breaks down acetylcholine at the NM synapse/junction - Correct Answers ✅acetylcholinesterase
Phase 2, Non-depolarizing agents are: agonists or antagonists
- Correct Answers ✅Antagonist
Phase 1, Depolarizing agents act as: agonist or antagonist?? -
Correct Answers ✅Agonist then antagonist Train of Four Ratio - Correct Answers ✅Strength of 4th
twitch:Strength of 1st twitch (when it is 90% patient
considered recovered) 2 / 4
Nagelhout Pharm 2-Final Questions and Verified Answers, 100% Guarantee Pass (Latest 2025) Best nerve/muscle to measure onset of NMB - Correct Answers ✅Facial Nerve Orbicularis Oculi (Corrugator supercilii = best) (reflects diaphragm blockade) (negative-black electrode over nerve) Best nerve/muscle to measure emergence from NMB - Correct Answers ✅Ulnar Nerve Adductor Pollicis Measures thumb adduction (Red proximal) Single Twitch Test - Correct Answers ✅1.0 Hz Single stimulus Compares pre (baseline) and post NMB hand twitch Train of Four Test - Correct Answers ✅4 - 2 Hz twitches Compares 4th twitch to 1st twitch (fade) Reflects 70-100% blockade *Succ has no fade, all 4 twitches equal* Double Burst Simulation (DBS) Test - Correct Answers ✅2 - 50 Hz twitches 0.75 seconds apart 3 / 4
Nagelhout Pharm 2-Final Questions and Verified Answers, 100% Guarantee Pass (Latest 2025) Compares 2 twitches to monitor for fade Tetanus Test - Correct Answers ✅100 Hz twitch for 5 seconds Painful Posttetanic Count Test - Correct Answers ✅50 Hz stimulus for 5 sec → 3 sec pause → 1 Hz single twitch every second Only used when patient is 100% paralyzed
- = call for ventilator (>9 minutes til TOF)
- = 4 minutes until TOF possible
- Extremities
- Chest (neck downward)
- Abdominal muscles
- Diaphragm
8= 0-2 minutes until TOF Sequence of muscle paralysis - Correct Answers ✅1.Eyelids (Protective muscles of pharynx)
Muscles not affected by NMBs (4) - Correct Answers ✅1.Cardiac muscle
Smooth muscle:
- / 4