Certified Transport Registered Nurse Certification Practice Exam

When is vecuronium typically preferred for use?

1. Cardiopulmonary bypass

2. Patients with a history of malignant hyperthermia

3. During most pediatric surgeries

4. For rapid sequence intubation

The correct answer is: During most pediatric surgeries

Vecuronium is a non-depolarizing neuromuscular blocker that is often preferred in certain surgical settings, especially during procedures that do not require rapid intubation. In the context of pediatric surgeries, vecuronium is frequently chosen because its pharmacologic properties allow for good muscle relaxation with a controlled duration of action, which is particularly beneficial in the surgical environment where maintaining muscle relaxation is crucial for optimal surgical conditions. The use of vecuronium in pediatric patients is supported by its relatively predictable effects and safety profile, making it a popular choice among anesthesiologists for various surgical interventions. It can be easily titrated to provide the needed level of neuromuscular blockade without the faster onset and offset of other agents that may not be suitable for longer procedures. In contrast, vecuronium is not the standard choice for rapid sequence intubation, where faster-acting agents would be more typically preferred to facilitate quick airway management. Its use is also avoided in situations where patients have a history of malignant hyperthermia due to the unique risks associated with this condition, and while it may have some application during cardiopulmonary bypass, there are often other medications that might be more suitable in that critical context. Thus, vecur