<prompt> A patient with bilirubin value of 8 mgldl and serum creatinine of 1.9 mgdl is Planned for surgery.What is the muscle relaxant of choice in this patient-vecuroniumPancuroniumAtracuriumRocuronium  <response>: Atracurium is the drug of choice in liver and renal dysfunction . It is eliminated by Hoffmans degradation and alkaline Ester hydrolysis. 