Dexmedetomidine: Difference between revisions

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==Background==
*Provides sedation with maintenance of arousability, airway protection
==General==
==General==
*Type: [[Alpha-2 agonist]]
*Type: [[Alpha-2 agonist]]; [[Sedative agents]]
*Dosage Forms:IV
*Dosage Forms:IV
*Common Trade Names: Precedex (US), Dexdor (European)
*Common Trade Names: Precedex (US), Dexdor (European)
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*Provides analgesia and anesthesia
*Provides analgesia and anesthesia
*Hemodynamically neutral medication  
*Hemodynamically neutral medication  
*Provides sedation with maintenance of arousability, airway protection


==See Also==
==See Also==

Revision as of 17:15, 19 June 2015

General

Adult Dosing

  • ICU Sedation: 1 mcg/kg over 10 minutes followed by 0.2 to 0.7 mcg/kg/hr
  • Procedural Sedation: 1 mcg/kg over 10 minutes followed by 0.6 mcg/hr titrated to effect, generally 0.2 to 1 mcg/kg/hr

Pediatric Dosing

Special Populations

  • Pregnancy Rating: C
  • Lactation: Unknown if excreted in milk. Exercise caution
  • Renal Dosing
    • Adult
    • Pediatric
  • Hepatic Dosing
    • Adult
    • Pediatric

Contraindications

  • Allergy to class/drug

Adverse Reactions

Serious

  • Hypotension
  • Bradycardia
  • Apnea

Common

  • Hypotension
  • Bradycardia
  • Dry mouth

Pharmacology

  • Half-life: 2 hours
  • Metabolism: Hepatic
  • Excretion: Renal
  • Mechanism of Action: Selective alpha-2 agonist

Comments

  • Provides analgesia and anesthesia
  • Hemodynamically neutral medication
  • Provides sedation with maintenance of arousability, airway protection

See Also

References