1Sugammadex reverses opioid sedation, so avoid opioid pain medication for the next 7 days.
2Sugammadex reverses succinylcholine and permanently reduces fertility after one dose.
3Sugammadex treats malignant hyperthermia and increases oral contraceptive effectiveness for 1 week.
4Sugammadex binds rocuronium and can weaken hormonal contraception; use backup contraception for 7 days.✓ Correct answer
Explanation
Sugammadex forms a complex with rocuronium or vecuronium and reverses their neuromuscular blockade. It can bind progestogen and reduce hormonal contraceptive exposure. A client using hormonal contraception should use an additional nonhormonal method for 7 days after sugammadex. It does not reverse opioids or succinylcholine, treat malignant hyperthermia, or cause permanent infertility.
Clinical reasoning Sugammadex encapsulates steroidal neuromuscular blockers, especially rocuronium and vecuronium. The same binding principle creates a temporary interaction with hormonal contraception.
Decision rule After sugammadex, verify recovery from blockade and teach clients using hormonal contraception to add a nonhormonal method for the next 7 days.
Scenario A client who uses a combined oral contraceptive receives sugammadex after rocuronium neuromuscular blockade.
Sugammadex — A selective relaxant binding agent that reverses rocuronium- or vecuronium-induced neuromuscular blockade.
Contraceptive interaction — Temporary reduction in hormonal contraceptive effectiveness after sugammadex requiring 7 days of added nonhormonal protection.
Sugammadex-OC interaction — Binds progestins/estrogens; backup contraception for 7 days.