Propofol (Diprivan) Nursing Considerations

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Kara Tarr
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Drug Card Propofol (Diprivan) (Cheatsheet)
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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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DRN 101, Week 7

Concepts Covered:

  • Intraoperative Nursing
  • Immunological Disorders
  • Factors Influencing Community Health
  • Preoperative Nursing
  • Legal and Ethical Issues
  • Substance Abuse Disorders
  • Emergency Care of the Cardiac Patient
  • Communication
  • Fundamentals of Emergency Nursing
  • Basics of NCLEX
  • Perioperative Nursing Roles
  • Delegation
  • Labor Complications
  • Test Taking Strategies
  • Postoperative Nursing
  • Medication Administration
  • EENT Disorders
  • Integumentary Disorders
  • Anxiety Disorders

Study Plan Lessons

Anesthesia Management Assistance for Certified Perioperative Nurse (CNOR)
Anaphylaxis Nursing Interventions for Certified Perioperative Nurse (CNOR)
Age and Culturally Appropriate Health Assessment Techniques for Certified Perioperative Nurse (CNOR)
Advanced Directive and DNR Status Confirmation for Certified Perioperative Nurse (CNOR)
Benzodiazepines
Cardiac Arrest Nursing Interventions for Certified Perioperative Nurse (CNOR)
Confirmation of Correct Procedure (Operative Site, Side, Site Marking) for Certified Perioperative Nurse (CNOR)
Conflict Management (Patient, Perioperative Team, Family) for Certified Perioperative Nurse (CNOR)
Critical Thinking to Facilitate Patient Care for Certified Perioperative Nurse (CNOR)
CRNA
Delegation and Personnel Management for Certified Perioperative Nurse (CNOR)
Emergency Situation Identification for Certified Perioperative Nurse (CNOR)
Epidural
Formulating Nursing Diagnoses for Certified Perioperative Nurse (CNOR)
General Anesthesia
Hemorrhage Nursing Interventions for Certified Perioperative Nurse (CNOR)
Identifying Interventions per Nursing Diagnoses for Certified Perioperative Nurse (CNOR)
Informed Consent
Intraoperative (Intraop) Complications
Intraoperative Nursing Priorities
Intraoperative Positioning
Labeling (Medications, Solutions, Containers) for Certified Perioperative Nurse (CNOR)
Local Anesthesia
Local Anesthetic Systemic Toxicity (LAST) Nursing Interventions for Certified Perioperative Nurse (CNOR)
Malignant Hyperthermia
Malignant Hyperthermia (MH) Nursing Interventions for Certified Perioperative Nurse (CNOR)
Patient Controlled Analgesia (PCA)
Perioperative Nursing Course Introduction
Perioperative Nursing Roles
Positioning (Pressure Injury Prevention and Tourniquet Safety) for Certified Perioperative Nurse (CNOR)
Post-Anesthesia Recovery
Postoperative (Postop) Complications
Preoperative (Preop) Education
Preoperative (Preop) Nursing Priorities
Preoperative (Preop)Assessment
Procedurally-Relevant Focused Assessments for Certified Perioperative Nurse (CNOR)
Product Assessment (Packaging, Sterilization) for Certified Perioperative Nurse (CNOR)
Sterile Field
Sterile Field Maintenance (Aseptic Technique) for Certified Perioperative Nurse (CNOR)
Surgical Incisions & Drain Sites
Surgical Site Preparation for Certified Perioperative Nurse (CNOR)
Surgical Wound Classification Documentation for Certified Perioperative Nurse (CNOR)
Wound Classification for Certified Perioperative Nurse (CNOR)
Wound Dressing Maintenance for Certified Perioperative Nurse (CNOR)
Barbiturates
Propofol (Diprivan) Nursing Considerations
Lidocaine (Xylocaine) Nursing Considerations
Antianxiety Meds