propofol dosage for moderate sedation
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Sedation The propofol dosage typically was an initial bolus of 20 to 40 mg, followed by 10 to 20 mg boluses to maintain sedation. Sipe reported that propofol achieved faster time to sedation, greater depth of sedation and faster recovery than midazolam/meperidine sedation. Complication rates were similar.
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- McCollam JS, O'Neil MG, Norcross ED, Byrne TK, Reeves ST. Continuous infusions of lorazepam, midazolam and propofol for sedation of the critically ill surgery trauma patient: a prospective, randomized comparison.
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- After premedication with IV midazolam, 1 to. 4 mg, patients received a local knee block when they. were in SDS or the operating room, after induction of. general anesthesia, according to patient choice. In group 1, anesthesia was induced with IV propo-. fol, 1.5 to 2.5 mg/kg, and fentanyl, 1 to 2 µg/kg.
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Dosing & Uses Oral solution: 15 mL (36 mg/360 mg) PO q4hr PRN; not to exceed 4 g acetaminophen/day. Dosing considerations. Based on the dosage strength selected and pain severity/tolerance, the prescriber must determine the number of tablets for each dose and frequency of administration (typically q4-6hr)
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Propofol: Expert Q&A Propofol is a strong anesthetic that's used for surgery, some medical exams, and for sedation for people on ventilators -- never as a sleep aid. It's given by IV and should only be administered by a medical professional trained in its use. It takes effect in a matter of seconds.
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- Preoperative Sedation, Anxiety Relief, & Anterograde Amnesia. 0.05 mg/kg IM for 1 dose; 2 hours before surgery; not to exceed 4 mg (2 mg/dose in elderly), OR. 0.044 mg/kg IV for 1 dose; 15-20 minutes before surgery; not to exceed 4 mg (2 mg/dose in elderly) Status Epilepticus.
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12 a client with septic shock receives a prescription The healthcare provider prescribes propofol (Diprivan ) at 8 mcg/kg/minute for a client during conscious seda±on. The drug is dispensed as 100 mg/50 mL 0.9% normal saline. The client weighs 198 pounds.
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- A poll of public school teachers finds that on average, high school students are assigned 3.5 hours of homework per weeknight, or more than 17 hours a week.
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Sedation Propofol is 98% plasma-protein bound, and is metabolized primarily in the liver. The drug is lipophilic and is prepared as an oil/water emulsion consisting of 1% propofol, 10% soybean oil, 2.25% glycerol, and 1.2% egg lecithin. Propofol is contraindicated in patients with hypersensitivity to eggs or soybean.
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DEMEROL CII Use lowest effective dose for shortest duration. Oral soln: use calibrated measuring device; dilute each dose in ½ glass of water. Individualize. Initially 1.1–1.8mg/kg up to adult dose every 3–4 hours as needed. If pain relief inadequate with ≤600mg/day, taper dose and discontinue; use alternative.
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Propofol Propofol is highly protein-bound in vivo and is metabolised by conjugation in the liver. The half-life of elimination of propofol has been estimated to be between 2 and 24 hours. However, its duration of clinical effect is much shorter, because propofol is rapidly distributed into peripheral tissues.
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- Patients in the propofol groupreceived initialIV infusions of 60 to 80 mg/min up to 2.0 mg/kg until adequatesedation was achieved followed by an infusionof 5 to 10mg/kg/hto maintain the desired level of sedation.Propofolseemingly meets manyofthe requirements foran idealsedating drug in the ICU setting.
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Airway Skills 4: Drugs and dosages depend on medications used during intubation. Sedation: Midazolam 0.05 mg/kg to 0.3 mg/kg IV. Suggested maximum single dose 10 mg; reduce dose or consider alternative in hypotension or elderly. Paralysis: Vecuronium 0.1 mg/kg IV (if not used for intubation)
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Propofol When used for IV sedation, a single dose of propofol typically wears off within minutes. Propofol is versatile; the drug can be given for short or prolonged sedation, as well as for general anesthesia.
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- The travel marked a climax in Basho's literary career. He wrote some of his finest haiku during the journey. The resulting journal The Narrow Road to the Deep North (Oku no Hosomichi), is one of the highest attainments in the history of poetic diaries in Japan.asho's life seems to have been peaceful so far, and he might for the rest of his life have been a satisfied, low-ranking samurai who spent his spare time verse writing. He had already come of age and had assumed a samurai's name, Matsuo Munefusa.
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Propofol Infusion Syndrome In addition, the attending physician ordered propofol to be titrated to manage intracranial hypertension. The patient’s ICP ranged from 20 to 35 mm Hg, necessitating an increase in the propofol infusion an average of 20 μg/kg per minute every hour to 100 μg/kg per minute.
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- Other Anesthetics. Propofol-is a sedative/hypnotic that can be used for induction or maintenance of general anesthesia. Analgesic effect is poor and addition of an analgesic to the anesthetic regimen is necesssary for surgery. The drug comes as an emulsion that must be mixed and used within several days.
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Morphine Dosing in Acute Pain: How Much Is Enough? Underdosing of opioid analgesia is a significant problem in emergency medicine. Although many dosing regimens for intravenous morphine have been studied, 0.10 mg/kg generally is recommended as an acceptable starting dose for treating patients with acute pain. Unfortunately, many physicians start much lower.
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- If local anesthesia is used, it should be accompanied by intravenous sedation prior to the operative procedure. We prefer to sedate the patient with 50 mg meperidine (Demerol) and 10 mg diazepam (Valium) after she is placed on the operating table.
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Moderate Sedation-Propofol 0 I have never read a standard regarding maximum dosage of propofol for moderate sedation. I've read mean dosages, and policies regarding such average dosages, specifically for endoscopic procedures, but I have never read anything regarding a max dose of propofol for endoscopic procedures requiring moderate sedation.
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- This could be your finger, nipple, baby bottle, or a pacifier. Babies, especially up to 7 months old, have strong sucking needs. This is a quick remedy to a long-term problem. Do not let her suck on it for hours at a time. After 7 or 8 months, you will need to wean your baby off of what she is sucking on.
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Sedation Koshy et al. compared the combination of propofol and fentanyl to midazolam and meperidine in a non-randomized group of 274 patients undergoing upper endoscopy and colonoscopy [10]. The group receiving propofol and fentanyl had better patient comfort and deeper sedation without an increase in untoward side effects.
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IDEA's Definition of Disabilities. ERIC Digest E560. VISUAL IMPAIRMENT. 1. VISUAL IMPAIRMENT. (Including Blindness) I. DEFINITION. Visual impairment including blindness means an impairment in vision that, even. with correction, adversely affects a child's educational performance. The term. includes both partial sight and blindness. This impairment refers to abnormality of.
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- 7. • Administer analgesic, sedating, and anesthetic agents for the purpose of regional and moderate sedation. for non-intubated or intubated ventilated-patients. • Administer analgesic, sedating, and anesthetic agents for regional, moderate, and deep sedation in. intubated ventilated patients.
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Dosing & Uses Reversal of Conscious Sedation and General Anesthesia. 0.2 mg IV over 15 sec. IF after 45 sec no response, administer 0.2 mg again over 1 min; may repeat at 1 min intervals; not to exceed 4 doses (1 mg) IF resedation occurs, may repeat doses at 20-min intervals; not to exceed 1 mg/dose or 3 mg/hr
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A propofol-free colonoscopy? Some doctors say yes Some gastroenterologists say sedation using the powerful sedative propofol is unnecessary for colonoscopies. (Richard Vogel / Associated Press). Paul Thornton. The thought of undergoing a colonoscopy while not completely unconscious might give you shivers. And it shouldn't, say several doctors who perform the procedure.ajen Mathews of Fullerton, also a gastroenterologist, outlines the propofol-free protocol: Moderate sedation with medications like fentanyl and versed is universally used for colonoscopies. At my endoscopy center in Fullerton, we perform about 12,000 procedures a year, and 95% of them are done under moderate sedation.