<prompt> Skeletal muscle relaxant of choice in liver and renal disease is?MivacuriumAtracuriumGalliumVecuronium  <response>: ANSWER: B AtracuriumREF: Lee synopsis of anesthesia 12th e p. 215Repeat in December 2011Muscle relaxantRoute of eliminationPancuronium , Vecuronium , RapacuroniumLiverVecuronium , RocuroniumBiliarySch , MivacuriumPseudocholinesteraseGallamine , MetocurineRenalAtracurium, cis-atracuriumHoffmans elimination Obtain AMPLE history and examine patinet PrepareEquipment. PersonnelmedicationsMonitor and preoxygenateECG and oulse oximeterPremedicate Gve atropine- Indicateo to all children 5 years of age- Indicated for all patients wen suociny choline is used If succinycholine to be used; consider defasciculation 0.01 mgkg of Vecuronium or Pancuromjmj Give ildocaine for head injury or increased ICPSecsle choose ore option eased onccnd tion of patentNomotensive Midazolam or E:oir cate or Thiopental or PropofolHypotensivehypovolemicHead injury or status epilepticusStatus asthmaticus Ketamine or MidazolamMidSevereNormotensiveHypotensive Etonidale or Etorrcateor T-opentalor Etomdate or Ketamine or Ketam-e cr Propofol cr Lew-dose thiopental Midazolam None Tetomidate Apply criood pressure when patient is unconsciousParalyze .choose one Rocurcnium Vecuronium Suoclnylcholine intubate Irachea Evaluate and confirm tube placement eg. exhaled CO2 Secure tracheal tube Observe and monitor Administer additonal sedaton and paralytics PRN AMPLE r stony allergy medications, past history, last meal and events leading to need for intubation. 