In adult advanced airway (Paralytic for Airway Control), what is the rocuronium dose?

• A. 20-40 mg
• B. 5-10 mg
• C. 120-180 mg
• D. 50-100 mg

Answer: (C)

High-dose rocuronium is used for rapid sequence airway control to obtain quick, reliable paralysis for intubation. The recommended intubating dose is about 1.2 mg per kilogram, which for many adults amounts to roughly 120–180 mg. This higher dose provides onset in about a minute, enabling prompt endotracheal placement and minimizing movement or coughing during intubation. Lower doses would not reliably produce rapid paralysis, so they’re not suitable for this scenario.