FormWeb • succinylcholine

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succinylcholine

succinylcholine

Restricted Medications Cardiac Monitor (IV)

Brand names: Anectine, Quelicin

Form	Strength
SOLUTION, INJECTABLE	20 mg/mL

Display Neuromuscular Blocking Agents Class: 122020

High Alert Drug : Policy

Medication comments:

Refrigerator item

High Alert Drug: Neuromuscular blocking agents
• Stored in lidded or locked-lidded containers and labeled with fluorescent orange sticker as WARNING: PARALYTIC AGENTS CAUSES RESPIRATORY ARREST in ICU, CCU, ED, Endo, OR, holding room, cath lab holding room. • Two RNs independently verify dosage prior to administration. • Storage bins labeled with fluorescent orange sticker as WARNING: PARALYTIC AGENT CAUSES RESPIRATORY ARREST in Pharmacy, ICU, CCU, ED, Endo, OR, holding room, cath lab holding room. • Locked drawer in procedural areas and labeled with fluorescent orange sticker as WARNING: PARALYTIC AGENT CAUSES RESPIRATORY ARREST in Anesthesia. • Dispense alert on Automated Dispensing Cabinets.

High Alert Drug: Neuromuscular blocking agents

• Stored in lidded or locked-lidded containers and labeled with fluorescent orange sticker as WARNING: PARALYTIC AGENTS CAUSES RESPIRATORY ARREST in ICU, CCU, ED, Endo, OR, holding room, cath lab holding room.
• Two RNs independently verify dosage prior to administration.
• Storage bins labeled with fluorescent orange sticker as WARNING: PARALYTIC AGENT CAUSES RESPIRATORY ARREST in Pharmacy, ICU, CCU, ED, Endo, OR, holding room, cath lab holding room.
• Locked drawer in procedural areas and labeled with fluorescent orange sticker as WARNING: PARALYTIC AGENT CAUSES RESPIRATORY ARREST in Anesthesia.
• Dispense alert on Automated Dispensing Cabinets.

Per policy, these medications require cardiac and/or special monitoring. (KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
generic (Brand) / Notes	CCU, OR, PACU, CCL, ED	PCU	2N (Tele)	1N (Tele), 3N (Tele)	Med/Surg (1N w/o Tele, 3N w/o Tele, 4N, 5N)	BirthPlace	SNF	ICS	OPS
succinylcholine (Anectine, Quelicin) IV Push, IV Infusion Key: order set, vent	Y	N	N	N	N	N	N	N	N

Last updated: Jan. 17, 2025

Black Box Warnings Hyperkalemic rhabdomyolysis in infants or children

UpToDate Lexidrug

Pharmacy Contact Info:

Main Inpatient Pharmacy: ext 4599, 3503
Fax: 704-878-7283

Director of Pharmacy - Randi Raynor, PharmD: ext 4501
Clinical Coordinator - Laura Rollings, PharmD: ext 4597
Pharmacy Informaticist - Stephen Pringle, PharmD: ext 7645
Pharmacy Technician Supervisor - Amy Wingler, CPhT: ext 7385
Pharmacy Automation Coordinator (Omnicell) - Melissa Fulford, CPhT: ext 3556

This site is intended for the staff of Iredell Health System. While others may view accessible pages, Iredell Health System makes no warranty, express or implied, as to the use of this information outside of Iredell Health System. The content of this policy and procedure document serves as guidance to the delivery of quality patient care. Care providers are expected to exercise critical thinking and situational awareness skills, and in specific situations to take such action as is necessary for the delivery of quality patient care.