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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Exam 2

Concepts Covered:

  • Respiratory System
  • Respiratory Emergencies
  • Infectious Respiratory Disorder
  • Noninfectious Respiratory Disorder
  • Respiratory Disorders
  • Cardiac Disorders
  • Central Nervous System Disorders – Brain
  • Studying
  • Intraoperative Nursing
  • Medication Administration
  • Labor Complications
  • Postoperative Nursing
  • Substance Abuse Disorders
  • EENT Disorders
  • Neurologic and Cognitive Disorders
  • Sexually Transmitted Infections
  • Nervous System
  • Learning Pharmacology
  • Pregnancy Risks
  • Liver & Gallbladder Disorders

Study Plan Lessons

Respiratory A&P Module Intro
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Respiratory Infections Module Intro
Respiratory Trauma Module Intro
Respiratory Procedures Module Intro
Nursing Care and Pathophysiology for Influenza (Flu)
Nursing Care and Pathophysiology of Pneumonia
Artificial Airways
Hierarchy of O2 Delivery
Airway Suctioning
Bronchoscopy
Thoracentesis
Thrombolytics
Seizure Causes Nursing Mnemonic (VITAMIN)
Respiratory Course Introduction
Oxygen Delivery Module Intro
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Chest Tube Management
Alveoli & Atelectasis
Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Anesthetic Agents
Magnesium Sulfate (MgSO4) Nursing Considerations
Meperidine (Demerol) Nursing Considerations
Morphine (MS Contin) Nursing Considerations
Pentobarbital (Nembutal) Nursing Considerations
Fluticasone (Flonase) Nursing Considerations
Propofol (Diprivan) Nursing Considerations
Oxycodone (OxyContin) Nursing Considerations
Nalbuphine (Nubain) Nursing Considerations
Methadone (Methadose) Nursing Considerations
Terbutaline (Brethine) Nursing Considerations
Ondansetron (Zofran) Nursing Considerations
Salmeterol (Serevent) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Amoxicillin (Amoxil) Nursing Considerations
Midazolam (Versed) Nursing Considerations
Erythromycin (Erythrocin) Nursing Considerations
Codeine (Paveral) Nursing Considerations
Clindamycin (Cleocin) Nursing Considerations
Ciprofloxacin (Cipro) Nursing Considerations
Cimetidine (Tagamet) Nursing Considerations
Cefaclor (Ceclor) Nursing Considerations
Azithromycin (Zithromax) Nursing Considerations
Atropine (Atropen) Nursing Considerations
Ampicillin (Omnipen) Nursing Considerations
The SOCK Method – O
Magnesium Sulfate
Histamine 1 Receptor Blockers
Benzodiazepines
Anti-Infective – Antitubercular
Rifampin (Rifadin) Nursing Considerations
Isoniazid (Niazid) Nursing Considerations
Nitroglycerin (Nitrostat) Nursing Considerations
Hemodynamics
Continuous Renal Replacement Therapy (CRRT, dialysis)
ARDS causes Nursing Mnemonic (GUT PASS)