FormWeb • vecuronium

IHS FormWeb

Approved Formulary

Staff Telephone Numbers

Webpage Links

Add Formweb to your mobile device

Android iOS

Search results for:

vecuronium

vecuronium

Restricted Medications Cardiac Monitor (IV)

Brand names: Norcuron

Form	Strength
POWDER FOR INJECTION, INTRAVENOUS	10 mg

Display Neuromuscular Blocking Agents Class: 122020

High Alert Drug : Policy

Medication comments:

vecuronium should generally not be interrupted during procedures unless there is a specific physician order.

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
vecuronium (Norcuron) IV Push, IV Infusion Key: order set, vent	Y	N	N	N	N	N	N	N

Iredell Memorial Hospital ICU Adult Infusion Guidelines
The following orders are intended to provide a specific, safe, and effective means of initiating and titrating medications for critically ill patients. Physicians may modify doses and/or parameters as necessary pending patients' status.For all medications listed below, the responsible LIP is to be notified if unable to titrate or the maximum dose is reached andgoals of therapy are not met.
Drug Name	Onset	Preparation	Compatible fluids
vecuronium (Norcuron)	2-3 min	20 mg/100 ml	NS or D5W
Starting Dose for ICU Sedation		Titration Guidelines (for increasing and decreasing doses) with Maximum dose
For ICU paralysis: Begin infusion at 0.8 mcg/kg/min.		For ICU paralysis: increase by 0.3 mcg/kg/min every 15 min or decrease by 50% to TOF 2-3 twitches. Max = 1.2 mcg/kg/min. Must be on MECHANICAL VENTILATION and must be INDEPENDENTLY VERIFIED by TWO RN'S.

Last updated: Apr. 17, 2024

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 Memorial Hospital.
While others may view accessible pages, Iredell Memorial Hospital makes no warranty, express or implied,
as to the use of this information outside of Iredell Memorial Hospital.
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.