Do a physical exam. If pt can talk to you coherently, has cough n' gag reflex, and isn't gorked then yeah they can protect their airway.Does anyone know of any evidence that precedex decreases airway reflexes or maintains them?
Is a spontaneously breathing person on dexmetadomidine still have a completely protected airway?
Damn, dude. That's a hefty dose. Did you leave it there? Or, did you turn it down once his heart rate was 47 and his BP was 170/90?I put this friggen crack head who was trying to bite nurses on precedex a couple of days ago. I lit him up with 20mg of haldol then threw his *** on the precedex ggt at 1.2ucg/kg/hr. That showed him.
Is there anything this drug can't do?
I've read about it happening during the loading dose but never had it happen to me. Yeah I just knocked on my faux-wood desk.
Yeah, just be careful with the hypertension. I was running it during a coiling, and it snuck up on me. I've probably done 30-40 anesthetics using Precedex as an adjunct, and that was the first time I'd seen it. And, it persisted until I shut it off. (It was a TIVA with Remi, Precedex, and the white stuff.)