Correct!
5. All of the above
Myasthenic crisis may be precipitated by various factors, commonly respiratory infections, but certain medications such as beta blockers, calcium channel blockers, neuromuscular blocking agents, narcotics, aminoglycosides and fluoroquinolones have been known to interfere with neuromuscular junction transmission and should be avoided if possible. During intubation, if neuromuscular blocking agent is needed, it is preferable to use lower dose of non-depolarizing blocking agent (0.5 mg/kg of rocuronium instead of the usual 1 mg/kg) to prevent potential prolonged paralysis.
What is cholinergic crisis? (Click on the correct answer to proceed to the next panel)