Propofol (Diprivan) Nursing Considerations

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Kara Tarr
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Outline

Generic Name

propofol

Trade Name

Diprivan

Indication

anesthesia, induction, sedation,

Action

hypnotic, produces amnesia with no analgesic properties

Therapeutic Class

general anesthetic

Pharmacologic Class

none

Nursing Considerations

• use cautiously with CVD, lipid disorder, increased ICP
• can cause apnea, bradycardia, hypotension
• burning and pain at insertion site
• can turn urine green
• assess respiratory status and hemodynamics
• maintain patent airway
• assess level of sedation

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Transcript

Hey guys, let’s talk about the drug propofol also known as dip van. This is an injectable medication, as you can see here. So propofol works as a general an and its pharmacologic class or its chemical effect is a sedative and hypnotic agent propofol produces amnesia, but it doesn’t have any pain relief properties. So we use propofol for anesthesia induction, intubation as well as for sedation and guys made. You’ve heard this before, but it has a white Milky appearance and sometimes it’s referred to as milk of amnesia. So the things that we can expect to see with propofol are apnea, bradycardia and high bot tensions, 

A few nursing considerations when administering profile use caution in patients with C V D lipid disorders or increased intercranial pressure, assess your patient’s respiratory status, their hemodynamics, as well as their level of sedation when receiving propofol. Now, although I personally have never seen this working in surgery, propofol can cause the urine to have a greenish appearance and it absolutely is necessary that your patient has a patent airway when receiving propofol, make sure your patient knows that propofol can cause pain at the injection site. And it is normal to not remember anything after you receive propofol. Something that anesthesia does in surgery, where I work to relieve that pain at the injection site is inject a little bit of Le Toca first before administering the profil. This seems to help the patients with that burning feeling. Check out our lesson that we have specifically on Liam. Also guys with propofol. Remember this is not treating any pain in the patient. So an analgesic agent should also be used because the patient will not be able to report this when receiving propofol that’s it for propofol or dip van now go out and be your best self today. And as always happy nursing.

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Pharmy

Concepts Covered:

  • Adult
  • Medication Administration
  • Emergency Care of the Cardiac Patient
  • Cardiac Disorders
  • Anxiety Disorders
  • Depressive Disorders
  • Nervous System
  • Intraoperative Nursing
  • Gastrointestinal Disorders
  • Central Nervous System Disorders – Brain
  • Microbiology
  • Immunological Disorders
  • Circulatory System
  • Hematologic Disorders
  • Concepts of Pharmacology
  • Studying
  • Disorders of Pancreas
  • Respiratory Disorders
  • Vascular Disorders
  • Postoperative Nursing
  • Pregnancy Risks
  • Neurological
  • Postpartum Complications
  • Substance Abuse Disorders
  • Upper GI Disorders
  • Noninfectious Respiratory Disorder
  • Bipolar Disorders
  • Prenatal Concepts
  • Learning Pharmacology
  • Newborn Care

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Amiodarone (Pacerone) Nursing Considerations
Anti-Platelet Aggregate
Antianxiety Meds
Antidepressants
Atropine (Atropen) Nursing Considerations
Barbiturates
Bisacodyl (Dulcolax) Nursing Considerations
Buspirone (Buspar) Nursing Considerations
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Cefdinir (Omnicef) Nursing Considerations
Celecoxib (Celebrex) Nursing Considerations
Drawing Blood from the IV
Drawing Up Meds
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Epoetin Alfa
Drug Interactions Nursing Mnemonic (These Drugs Can Interact)
Fentanyl (Duragesic) Nursing Considerations
Glipizide (Glucotrol) Nursing Considerations
Guaifenesin (Mucinex) Nursing Considerations
Hanging an IV Piggyback
How to Secure an IV (chevron, transparent dressing)
How to Remove (discontinue) an IV
Insulin
Hydralazine
Hydromorphone (Dilaudid) Nursing Considerations
Insulin Drips
Insulin Mixing
Interactive Pharmacology Practice
Interactive Practice Drip Calculations
Insulin – Mixtures (70/30)
Insulin – Long Acting (Lantus) Nursing Considerations
IV Catheter Selection (gauge, color)
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
IV Drip Administration & Safety Checks
IV Drip Therapy – Medications Used for Drips
IV Pump Management
IV Push Medications
Ketorolac (Toradol) Nursing Considerations
Lidocaine (Xylocaine) Nursing Considerations
Magnesium Sulfate
Magnesium Sulfate in Pregnancy
Mannitol (Osmitrol) Nursing Considerations
MAOIs
Meds for Postpartum Hemorrhage (PPH)
Meperidine (Demerol) Nursing Considerations
Methadone (Methadose) Nursing Considerations
Methylergonovine (Methergine) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Mood Stabilizers
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NG Tube Medication Administration
NG Tube Med Administration (Nasogastric)
Nitro Compounds
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
Nystatin (Mycostatin) Nursing Considerations
Oxycodone (OxyContin) Nursing Considerations
Parasympathomimetics (Cholinergics) Nursing Considerations
Patient Controlled Analgesia (PCA)
Pentobarbital (Nembutal) Nursing Considerations
Pharmacodynamics
Pharmacokinetics
Pharmacokinetics Nursing Mnemonic (ADME)
Phenobarbital (Luminal) Nursing Considerations
Procainamide (Pronestyl) Nursing Considerations
Propofol (Diprivan) Nursing Considerations
Rh Immune Globulin in Pregnancy
Sedatives-Hypnotics
Spiking & Priming IV Bags
Starting an IV
Streptokinase (Streptase) Nursing Considerations
SubQ Injections
The SOCK Method – Overview
Tips & Tricks
Tips & Advice for Pediatric IV
Tips & Advice for Newborns (Neonatal IV Insertion)
Understanding All The IV Set Ports
Using Aseptic Technique
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