Nimbex IVP

[OKRN]

I am not really familiar with nimbex, can an RN give it IVP for a bedside procedure?

[berry]

I am not really familiar with nimbex, can an RN give it IVP for a bedside procedure?

I hope it is being used in an intubating situation or for paralysis of an intubated pt. Nimbex is a nondepolarizing skeletal muscle relaxant. It should only be given to a patient with someone present skilled in airway management. An intubating dose in adults is .2 mg/kg the time to peak is 5 minutes with a duration of 60 minutes. One advantage it has over other nondepolarizing muscle relaxants is the fact its elimination is independent of renal or hepatic function.

[Zookeeper3]

We can if there is a doc at the bedside. If we're intubating with only RT, than we are not allowed to push diprovan or any paralytic (in any ICU) Need a doc present. RSI (rapid sequence intubation... sux/etomodate) is used in our ER because the doc tubes. hope this helps. Because it's a paralytic, you should have a policy on it because you will have to 1:1 the patient until intubated or the drug wears off like conscious sedation.

[berry]

Because it's a paralytic, you should have a policy on it because you will have to 1:1 the patient until intubated or the drug wears off like conscious sedation.

paralytics are not conscious sedation drugs.

[GilaRRT]

What kind of bedside procedure requires the use of a NMBA? Unless the question is related to intubation. However, I cannot see many docs wanting to use a NMBA that takes several minutes to produce optimal intubating conditions during a RSI. You are going to have a paralized patient without any airway protective mechanisms for an hour or more after giving a dose of Nimbex. I cannot think of any bedside procedures that require such conditions.

[climberrn]

paralytics are not conscious sedation drugs.

I didn't read that as Zookeeper saying it was a conscious sedation drug, I read it as like conscious sedation drugs, you need to be in a 1:1 ratio until it wears off.

That being said, like the other posters I've only seen it given either as a gtt on a already intubated patient or immediately prior to intubation with a doc.

[berry]

I didn't read that as Zookeeper saying it was a conscious sedation drug, I read it as like conscious sedation drugs, you need to be in a 1:1 ratio until it wears off.

That being said, like the other posters I've only seen it given either as a gtt on a already intubated patient or immediately prior to intubation with a doc.

I am not sure what he meant to say, but I am just emphasizing that it is not or even close to a conscious sedation drug. There is no need for 1:1 watching the only need is for the patient to be intubated, because they are paralyzed it is not a drug you give and then watch them closely ie 1:1 until it wears off.