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Was anyone else shocked with this propofol story?



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No. 10
from canoehead
Old Jul 09, 2009, 06:41 PM

Default Re: Was anyone else shocked with this propofol story?
Since I moved to Canada I've seen a lot of Propofol in the ER for concious sedation. I've refused to give it, so the docs push it and I stand there and wait for the other shoe to drop. Amazingly, at low doses people don't stop breathing and maintain sats on 100% O2. And they wake up within 5-10 minutes depending on how much is given. Maybe MJ was going with the Canadian dosing system- seems darn risky to me.
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No. 11
from EMT-2-RN
Old Jul 12, 2009, 07:00 AM

Default Re: Was anyone else shocked with this propofol story?
Low dose or not, you wont find me putting any of my non-tubed pt's on propofol. There are plenty of other sedatives that dont cause the resp. compromise and do a good job.
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No. 12
Old Jul 12, 2009, 12:42 PM

Default Re: Was anyone else shocked with this propofol story?
Originally Posted by EMT-2-RN View Post
Low dose or not, you wont find me putting any of my non-tubed pt's on propofol. There are plenty of other sedatives that dont cause the resp. compromise and do a good job.

It's both against my hospital policy and against my BON for me to give propofol to non-intubated pts. I think we all agree with that.

However, this sounds like an MDA was at his bedside administring the propofol. And I bet, after a few nights of monitoring and experimenting, they found that right dose without CV or Resp compromise. I bet he wasn't always moniitored.

I wonder if they were monitoring his triglycerides and giving him zinc!
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No. 13
from GucciRN22
Old Jul 20, 2009, 10:34 PM

Default Re: Was anyone else shocked with this propofol story?
That story weirded me out...how irresponsible for those around him!
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No. 14
from criticalHP
Old Jul 22, 2009, 09:07 PM

Default Re: Was anyone else shocked with this propofol story?
Originally Posted by Hoozdo View Post
And what the heck is that RN (or NP), acting as a nutritionist, blabbing about. I would be very afraid for my license if I were her. Someone had to start an IV and keep a drip going or the Diprivan would be ineffective due to it's short half life.

You have to wonder why she is blabbing? Notoriety?

Never considered Diprivan for insomnia. What's wrong with Ambien, Lunesta, Restoril?

Let's not be too quick to thrash our own profession...Dr's can start IV's too, and they can certainly stick a needle in the IJ and push diprivan. A bolus of diprivan can cause cardiovascular collapse before the half life is reached.
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