Drug Card Propofol

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Trade Name: Diprivan

Generic Name: propofol

Pt Weight: 86kg

Classification: general anesthetic


Indications:
Induction of general anesthesia in children >3 yr and adults.
Maintenance of balanced anesthesia when used with other agents in children >2 mo and adults.
Initiation and maintenance of monitored anesthesia care (MAC).
Sedation of intubated, mechanically ventilated patients in intensive care units (ICUs).
Why is your patient taking this drug? I honestly dont have a clue why hed be taking it, I doubt
he actually was at the time given he was A&O x4 and his speech was coherent. Unless it was
intended for his planned colonoscopy, Im at a loss
Standard doses and routes:
IV: (Geriatric Patients, Cardiac patients, Debilitated Patients, or Hypovolemic Patients):
Induction 20 mg q 10 sec until induction achieved (11.5 mg/kg total). Maintenance 50100
mcg/kg/min (dose in cardiac anesthesia ranges from 50150 mcg/kg/min depending on
concurrent use of opioid).
Patient Dose: not listed
Adverse Reactions & Side Fx:
CNS: dizziness, headache
Resp: APNEA, cough
CV: bradycardia, hypotension, hypertension
GI: abdominal cramping, hiccups, nausea, vomiting
Derm: flushing
Local: burning, pain, stinging, coldness, numbness, tingling at
IV site
MS: involuntary muscle movements, perioperative myoclonia
GU: discoloration of urine (green)
Misc: PROPOFOL INFUSION SYNDROME, fever
* CAPITALS indicate life-threatening.
Italics indicate most frequent.

Patient/Family Teaching:

1. Inform patient that this


medication will decrease
mental recall of the
procedure.
2. May cause drowsiness or
dizziness. Advise patient to
request assistance prior to
ambulation and transfer
and to avoid driving or
other activities requiring
alertness for 24 hr
following administration.
3. Advise patient to avoid
Contraindications: Hypersensitivity to propofol, soybean oil,
alcohol or other CNS
egg lecithin, or glycerol;
depressants without the
advice of a health care
Nursing Implications:
professional for 24 hr
following administration.
1. If drug is used for prolonged sedation in ICU, urine may turn
green
2. Continuously monitor vital signs
3. Drug contains 0.1g of fat (1.1 kcal)/ml. Reduce other lipid
products if given together
4. Stop drug gradually to prevent abrupt awakening and
increased agitation
Lab Test Considerations: May increase serum triglyceride
levels

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