If a patient needs drugs to control shivering, monitor for adverse drug effects. Magnesium and buspirone may lower BP; dexmedetomidine may exacerbate bradycardia; and meperidine and vecuronium may lower the seizure threshold, putting a population already predisposed to seizure activity at even higher risk.Patients undergoing therapeutic hypothermia who are receiving neuromuscular blockers should be monitored via continuous EEG to observe for seizure activity that might otherwise go undetected.