A provider is performing rapid sequence intubation on a client. Which medication would the nurse anticipate preparing to induce skeletal muscle relaxation for the client?
Explanation & Rationale
A. Propofol: Propofol is a sedative-hypnotic used to induce anesthesia and sedation. While it provides unconsciousness, it does not produce skeletal muscle relaxation, so it cannot be relied on alone for intubation. B. Ketamine: Ketamine is a dissociative anesthetic that provides sedation, analgesia, and some bronchodilation. It does not reliably cause complete skeletal muscle relaxation, so additional neuromuscular blockers are often required during rapid sequence intubation. C. Succinylcholine: Succinylcholine is a depolarizing neuromuscular blocking agent that induces rapid skeletal muscle relaxation, making it the drug of choice for facilitating endotracheal intubation during rapid sequence intubation. Its rapid onset and short duration make it ideal for emergent airway management. D. Etomidate: Etomidate is a sedative-hypnotic used for induction during intubation because of its hemodynamic stability. It provides unconsciousness but does not produce skeletal muscle paralysis, it is typically used in combination with a neuromuscular blocker like succinylcholine.