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zdatabase. org Precedex for Anesthesia providers: Precedex binds to pre-synaptic alpha 2 receptors, inhibiting norepinephrine and catecholamine release (Increased doses can bind to postsynaptic receptors 1 94% protein bound (caution in hepatic patients, dose reduction should be considered) 2 Reduces inhalational anesthetic requirement (MAC) 3 Onset 10-15 minutes (Give Early depending on when you want to
www. zdatabase. org Detail Information given to patient before the procedure about surgical and anesthesia procedures may diminish fear and anxiety and enhance postoperative recovery and quicken hospital discharge
Hyperglycemia Protocol INTRAOPERATIVE HYPERGLYCEMIA · Target: 140-180 · Basal long-acting SQ insulin + insulin drip (i e ½ of usual AM Lantus preop + drip intraop) is the best strategy · NO body Wt or DM status adjustment · Higher glycemic variability, BG < 140 or > 200 is associated with worse outcome · SQ insulin is not reliable (Slow unreliable onset b o tissue circulation, perfusion, skin temp change by