What is NIMBEX used for?
Table of Contents
What is NIMBEX used for?
Nimbex can be used as an adjunct to general anaesthesia, or sedation in the Intensive Care Unit (ICU) to relax skeletal muscles, and to facilitate tracheal intubation and mechanical ventilation.
Is NIMBEX a sedation?
NIMBEX® (cisatracurium besylate) is indicated as an adjunct to general anesthesia to facilitate tracheal intubation in adults and in pediatric patients 1 month to 12 years of age; to provide skeletal muscle relaxation in adults during surgical procedures or mechanical ventilation in the ICU; and to provide skeletal …
What class of drug is NIMBEX?
Nimbex is a prescription medicine used to before general anesthesia in preparation for surgery. Nimbex may be used alone or with other medications. Nimbex belongs to a class of drugs called Neuromuscular Blockers, Nondepolarizing.
Does NIMBEX lower heart rate?
Three minutes after administration of NIMBEX: 4 NiMBex patients showed a change greater than +/-20% in heart rate (HR) or mean arterial pressure (MAP) from induction in pooled data.
How does train of four work?
How It Works: A battery-powered stimulator delivers a small electric current to a superficial nerve, usually the ulnar nerve. Activity stimulated by the four consecutive impulses is assessed by watching or feeling for associated muscle movement.
Does nimbex paralyze the GI tract?
Has no analgesic or sedative properties; patients require continuous analgesic and sedative administration. Pupils and GI tract are not affected.
Can a nurse push NIMBEX?
May be administered IV direct or by IV infusion by a nurse in Adult Critical Care providing that the patient is receiving full mechanical ventilation. A nurse in Adult Critical Care may administer the initial dose.
What is another name for NIMBEX?
Cisatracurium besilate
| Clinical data | |
|---|---|
| Trade names | Nimbex |
| Other names | 51W89, cisatracurium besylate (USAN US ) |
| AHFS/Drugs.com | Monograph |
| License data | US DailyMed: Cisatracurium_besylate |
Is propofol and NIMBEX compatible?
Interactions between your drugs No interactions were found between Nimbex and propofol.
Can Nurses push nimbex?
Can cisatracurium cause tachycardia?
After 3xED95 cisatracurium, 3 of 21 patients exhibited haemodynamic changes > 20% (2 exhibited hypotension and 1 tachycardia), while in the high-dose cisatracurium group 2 of 21 patients demonstrated a tachycardia that was predetermined to be statistically but not clinically significant.
How do you titrate nimbex?
infusion for 48 hours. Do not titrate. dose reduction is not required in either hepatic or renal insufficiency; dose requirements may be increased in patients with severe hepatic disease….CISATRACURIUM (Nimbex)
| Indications | Recommended NMB | Dose |
|---|---|---|
| Continuous infusion for hypothermia or mechanical ventilation | Rocuronium | 0.5-0.7 mg/kg/hr |
Where do I place the train of four leads?
The optimal placement of the electrodes is the ulnar nerve. However, the conduction of the impulses is affected by wounds, edema and invasive lines, and hair, therefore, if any of these are present the facial nerve or the posterior tibial nerve should be used instead.
Can Nurses push NIMBEX?
Can NIMBEX cause hyperkalemia?
A common adverse effect of depolarizing NMBAs is hyperkalemia, as the inactivation of sodium channels causes a release of potassium. Hyperkalemia is rarely seen with non-depolarizing NMBAs.
Can you bolus NIMBEX?
Recommended NIMBEX Dose for Performing Tracheal Intubation Doses up to 0.4 mg/kg have been safely administered by bolus intravenous injection to healthy patients and patients with serious cardiovascular disease [see Clinical Pharmacology (12.2)].
What is a paralytic drip?
What is a paralytic drug? A paralytic medication is a neuromuscular blocking agent, a powerful muscle relaxant used to prevent muscle movement during surgical procedures or critical care. Common paralytics include atracurium, cisatracurium, mivacurium, rocuronium, succinylcholine, and vecuronium.
What is the other name for nimbex?
