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Sugammadex Moderate Block — FRCA Primary MCQ

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HardPharmacology - NeuromuscularSugammadex Moderate BlockFRCA Primary

A patient has a train-of-four count of 2 after rocuronium. What sugammadex dose is recommended for reversal of moderate block?

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Correct answer: E — 2 mg/kg using actual body weight

The best answer is “2 mg/kg using actual body weight”. For moderate rocuronium or vecuronium block, sugammadex 2 mg/kg is recommended when spontaneous recovery has reached at least a train-of-four count of 2. Four milligrams per kilogram is used for deep block, and 16 mg/kg is the emergency immediate-reversal dose after high-dose rocuronium.

Reference: Sugammadex Sandoz 100 mg/mL, Summary of Product Characteristics: https://www.medicines.org.uk/emc/product/14950/smpc