Which of the following statements about neuromuscular blocking agents is false?
Select Your Answer:
The actions of nondepolarizing blocking agents are readily reversed by increasing the concentration of normal transmitters at the receptors.
Reversal of nondepolarizing drugs is best accomplished by administering choline esterase inhibitors such as neostigmine.
In contrast, the paralysis produced by depolarizing blockers is increased by cholinesterase inhibitors.
The drugs block neuromuscular transmission at the neuromuscular junction causing paralysis of the skeletal muscles. This is accomplished either by acting presynaptically via the inhibition of acetylcholine synthesis or release or by acting postsynaptically at the acetylcholine receptors of the motor nerve end-plate. In clinical use, neuromuscular blockade is used adjunctively to anesthesia to paralyze the vocal cords and permit intubation of the trachea as well as to optimize the surgical field by inhibiting spontaneous ventilation to cause relaxation of skeletal muscles. Because the appropriate dose of neuromuscular-blocking drug may paralyze the muscles of the diaphragm, mechanical ventilation should be available. Patients are still aware of pain; hence, general anesthetics or analgesics must also be given.
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Adult Lab Normals
Pediatric Lab Normals
Focus on the agents most frequently responsible for perioperative anaphylaxis., Di Leo E,Delle Donne P,Calogiuri GF,Macchia L,Nettis E,, Clinical and molecular allergy : CMA, 2018 [PubMed PMID: 30002605]
Small doses of epinephrine prolong the recovery from a rocuronium-induced neuromuscular block: a case report., Schmitt HJ,, BMC anesthesiology, 2018 Jul 11 [PubMed PMID: 29996773]
Perianesthetic Implications and Considerations for Myasthenia Gravis., Muckler VC,O'Brien JM,Matson SE,Rice AN,, Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 2018 Jul 3 [PubMed PMID: 29980408]
Neuromuscular blockade of atracurium in permissive hypercapnic versus normocapnic swine undergoing laparoscopy., Bellini L,De Benedictis GM,, PloS one, 2018 [PubMed PMID: 29979782]
Perioperative drug reactions - practical recommendations for allergy testing and patient management., Pfützner W,Brockow K,, Allergo journal international, 2018 [PubMed PMID: 29974032]