Class:
Neuromuscular blocker (Depolarizing)

Action:
Depolarizing drugs bind to the nicotinic M receptors for acetylcholine. However, because they cause an initial depolarization of the muscle membrane, they often lead to fasciculations and some muscular contractions prior to inducing paralysis.

Indications:
Rapid Sequence Induction
To facilitate intubation
Terminating laryngospasm
Muscle relaxation

Precautions / Contraindications:
Penetrating eye injury (succinylcholine increases intraocular pressure)
Inability to control airway and/or support ventilations with oxygen and positive pressure
Succinylcholine has no effect on consciousness or pain.
Administer with caution to patients with severe trauma, burns, and electrolyte imbalances (high potassium levels).

Adult Dosing:

• For Rapid Sequence Induction:
  • 2mg/kg IV Push
  • Onset is <1 min
  • 5-7 min Duration