Propofol dosing obesity
[DOCX File]Scenario Run Sheet: Template
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Weight 220kg. Requires IV abx, Tamiflu and intubation with consideration of ramping/short handled largngoscope/measures to prevent atelectasis and hypoxia/appropriate dosing and ventilator settings with consideration of lean body weight dosing for some drugs. Learning Objectives. General. Comminication and . Scenario Specific
[DOC File]Lippincott Williams & Wilkins
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Propofol dosing regimens for ICU sedation based upon an integrated pharmacokinetic-pharmacodynamic model. Anesthesiology 2001;95:324-33. Nouette-Gaulain K, Rogier J, Bernard J, Deroudilhe G, Sztark F. Determination of Propofol and Remifentanil Concentrations for Tracheal Intubation Without Muscle Relaxant.
[DOCX File]MGH OB Pink Card 1.4.16
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GA (especially if HD unstable): RSI with cricoid pressure; propofol 2-3mg/kg IV (or etomidate 0.3mg/kg or ketamine 1-1.5mg/kg if patient hypovolemic), succinylcholine 1mg/kg IV. Maintenance of 100% FiO2 with roughly 2-3 MAC of inhalational agent until uterus evacuated, then decrease inhalational agent to 0.25 MAC in 50% O2/50% N2O.
[DOCX File]www.hsrsna.com
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Obesity – prolonged E1/2x b/c increased Vd. Same Except: High hepatic extraction ratio ... Dosing. Induction = 1.5 – 2.5 mg/kg. IV sedation = 25 – 100 mcg/kg/min. Maint. of anesth ... infection, hypertriglyceridemia as propofol. Has a large Vd and higher potency than propofol. Prolonged infusion. can have green urine (r/t phenols) or ...
[DOC File]Propofol Dosing Guidelines - Stanford University
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Turn off propofol infusion . about 5-10 minutes prior to the . desired time of emergence. Give 1-2 cc boluses as needed to keep patient asleep until the desired time of emergence. Propofol Dosing Caveats. I. Induction: A. Even small boluses (1 2 cc) may cause apnea, especially following a premed.
[DOCX File]Lapses in Treatment
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who have extreme obesity — a body mass index of 40 or higher — and face a wide range of health concerns. Part of the problem, both patients and doctors say, is a reluctance to look beyond a fat person’s weight. Patty Nece, 58, of Alexandria, Va., went to an orthopedist because her hip was aching.
[DOCX File]Appendix - Lippincott Williams & Wilkins
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SpO2
[DOC File]Community Hospital And Health Center
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Medication may be given either by a physician or a registered nurse, other than Propofol (Diprivan) and other rapid induction agents, which must be administered by a physician. In the case of medications which may be used as rapid induction agents, care should be exercised to remain within the manufacturer’s recommended dosing ranges for ...
[DOC File]1
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Known allergy to propofol or dexmedetomidine. Known or suspected pregnancy. Gross obesity ( over 50% above ideal body weight) Severe hepatic or renal disease. Spinal or epidural anaesthesia. History of corticosteroid therapy within the last 3 months. Uncontrolled diabetes. Procedure:
[DOC File]Stanford University
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Figure 17 shows the plasma concentrations and apparent biophase concentrations after an IV bolus of propofol for three values for t ½ ke0: 1 min, 2.8 min (the actual value for propofol), and 5 min. Regardless of the value of ke0, the pattern remains the same. The plasma concentration peaks (nearly) instantly and then steadily declines.
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