Sedation, analgesia and paralysis
Vecuronium drip
Dosing
| Start | 0.8–1.2 mcg/kg/min after a 0.1 mg/kg bolus |
|---|---|
| Titrate | To train-of-four 1–2 of 4 |
| Maximum | Usually under 1.7 mcg/kg/min |
| Common bags | 100 mg in 100 mL (1 mg/mL) |
| Dose units | mcg/kg/min |
Line and administration
- Peripheral or central
Watch for
- Active metabolite builds up in kidney failure
- ICU weakness, especially with steroids
- Deep sedation and analgesia first
Vecuronium: full drug monographIndications, mechanism, pharmacokinetics, cautions and every dose the app lists.
In the one-pagers
- Airway and RSIRSI drugs: Sugammadex reverses rocuronium or vecuronium; 16 mg/kg reverses rocuronium immediately. Watch for anaphylaxis, bradycardia; backup contraception for 7 days.
- Myasthenic Crisis and Guillain-Barré SyndromeNIV, intubation, the ventilator and liberation: Rocuronium, vecuronium: Usable; train-of-four: Very sensitive: 50–90% lower doses may suffice
Practice Airway and RSI questions free74 exam-style questions with rationales on the topic where vecuronium comes up most. No account or download needed.
Other sedation, analgesia and paralysis
- Propofol
- Dexmedetomidine
- Midazolam
- Fentanyl
- Cisatracurium
- Ketamine
- Hydromorphone
- Rocuronium
- Pentobarbital
- Remifentanil
Practice free in your browser3,800+ exam-style questions with rationales. No account, no ads. Also free on the App Store and Google Play.
For education and exam preparation only. Follow your institution’s protocols. Study aid: check every dose against the order, the bag label, your pump library and your institution's protocol.