Rocuronium - Critical Care Medication

In this lesson we take a look at one of a special group of medications referred to as paralytics or neuromuscular blocking agents. These medications severe many different roles for us but are potentially lethal if used in the wrong situation. Our NMBs have some differences too between how they work and so I discuss how it is that rocuronium works specifically.

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0:00 Intro
0:57 What is Rocuronium
3:23 Side Effects
4:00 Dosing
4:45 Monitoring
6:24 Uses in Critical Care
9:13 Wrap up

#ICUAdvantage #Rocuronium #Medications

[jlawbb]

Yes, definitely interested in more on the train of 4. We don't seem to use that where I am.

[watsonryan]

Studying for my CRNA school interview on Tuesday and I'm watching a ton of your videos to prepare. Thanks for being awesome! Keep making more ICU medication videos

[tensense]

Roc has been a big one during the pandemic with all these covid ARDS thanks, :)

[LifeUnfiltered-Raw]

Thanks for your very informative videos. The research you do for your videos are appreciated.

[David-mzmo]

Had my first patient on a Roc drip with pressors/sedation/vented (I’m new to the ICU) and did a neuro exam at the start of shift with no pupillary reflexes and fixed at 4mm bilaterally. I asked my preceptor if that was typical for paralytics and he dismissed it as it wasn’t a big deal. It made me nervous the rest of the day as I had 0 twitches with TOF on his ulnar and facial nerves even between titrating Roc down every few hours. Lo and behold, he coded twice on my shift and I’m wondering if he was already brain dead when I received him.

[mai.be.]

Perfect! Thank you very much. Greatings from Germany

[bonniehuang]

This is incredibly helpful! You explained this really well and very much nursing focused. I can't find any other channel as good as yours. I am currently in critical care nursing program. Would love it if you could do a video on other paralytics (e.g. sux) as well, if you haven't. Thank you for what you do!

[jbotiato]

Thanks for this video!! I’m so glad you liked added this because I wanted to know more about Roc since we use it a lot in MICU🙏🏾

[BlueLineRider]

cant wait for the TOF this good stuff always!

[wmp]

THANK How are you so damn smart and explain things very clearly and just EVERYTHING

[wongwong]

The video is so clear and helpful! Thank you so much xx

[hibi_the_second]

Great content as always. I'd be interested to hear your real life experiences with these medications, especially in emergency situations. Could be vid's by themselves or tagged onto the end of other ones.

[nurse]

Thanks for the video! Looking forward to the Tof one.

[nessaalvi]

You’re the best! Love all of the content you put up.

[debbdebbb]

This is great. Thank you so much looking forward to more videos!

[barbaracherrington]

Love your teaching as always. Thank you 😊.

[beatricemayaka]

Thanks for your educative classes requesting if you could do targeted tempeture management in ICU.thank you for your updates highly appreciate.

[agathang]

Hi, can you teach on IABP, the concept and waveform?

[CorriBonillaCamacho]

Do paralytics have an effect on pupil reactions?

[christopherdiaz]

Make a video about hypertensive emergencies in the ICU