Rocuronium
Brand: (Zemuron discontinued; generic only)
No boxed warning on the current FDA label. On the ISMP high-alert list.
- Caution
- Paralyzing agent: causes respiratory arrest and provides no sedation or pain relief; store segregated with a "Paralyzing Agent" warning label because accidental administration is fatal without ventilation.
- Storage
- Refrigerate (36 to 46 F); once at room temperature use within 60 days.
Common side effects
- Complete paralysis including breathing
- Low blood pressure
- Fast heartbeat
Key interactions
- Reversed by sugammadex
- Effect prolonged by aminoglycosides and magnesium
Counseling points
- Used only where intubation and mechanical ventilation are immediately available
- Provides no sedation or pain relief: the patient must be sedated separately
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