Was anyone else shocked with this propofol story?

[moonshadeau]

So like the rest of the world, I have been loosely following the MJ story with slight interest. Though the other day I was reading a story on CNN, where it was reported that the sedative he was requesting was propofol- to help him just sleep. I immediately thoughts went to propofol- cardiovascular collapse. HMMM.... I am just shocked, but then I guess in these days nothing should really surpise me anymore.

[cardiacRN2006, ADN, RN]

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!

[GucciRN22]

That story weirded me out...how irresponsible for those around him!

[criticalHP, MSN, RN]

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.