Propofol titration protocol
Propofol for ED Procedural Sedation — How Good Is It?
D. Titrate the propofol infusion rate, not the ketamine infusion rate. If the patient seems to require a lot of propofol, give 25-50 µg fentanyl boluses. F. As with propofol, the ketamine infusion rate was designed for adults of average weight (60-80 kg). Adjust upward or downward for larger or smaller patients.
[DOC File]Central Line Policy
https://info.5y1.org/propofol-titration-protocol_1_84a241.html
5) Feed titration: Unless contraindicated, the hourly EN feed rate should be increased by 25 ml every 4 hours with the goal (target) feed rate being achieved within 48 - 72 hrs. MD orders identifying the goal rate and stating titrate feeds to goal rate as per protocol should be included with the original feed order.
[DOCX File]medsafetyofficer.org
https://info.5y1.org/propofol-titration-protocol_1_70cd76.html
Propofol IV infusion (1000mg/100ml). If using BIS monitor, titrate meds to keep BIS 40-60. Administer per ICU protocol. Max rate of 80 mcg/kg/min. Note: Propofol interferes with measurement of aPTTs. Please consider this when ordering propofol on patients already on heparin and use Factor Xa levels to monitor anticoagulation
[DOC File]Central Maine Medical Center
https://info.5y1.org/propofol-titration-protocol_1_8f00ae.html
High dose propofol (> 50 mcg/kg/minute for > 48 hours) may cause propofol infusion syndrome. Propofol related infusion syndrome (PRIS) is characterized by metabolic acidosis, hypotension, bradyarrhythmias, lipemia, rhabdomyolysis, and cardiac failure.
[DOC File]Propofol Dosing Guidelines
https://info.5y1.org/propofol-titration-protocol_1_930dbb.html
The propofol doses in the manuscript of 3.1 ± 0.7 µg/ml and 4.3 ± 0.8 µg/ml are averages over the entire study population. However, based on our protocol, each individual volunteer had a unique pair of high and low propofol doses, with “deep” anesthesia being defined as immobility in response to a painful electrical stimulus.
[DOCX File]Nursing Case Studies
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Reduce Propofol rate in half. If after 30 minutes patient is still not overly agitated or delirious stop the Propofol drip. If patient becomes agitated or delirious after reducing the drip in half: Increase by 5 mcg/kg/min every 5 minutes to goal level of sedation (standard titration parameter) up …
[DOCX File]Lippincott Williams & Wilkins
https://info.5y1.org/propofol-titration-protocol_1_f1358a.html
Protocol: (goal temperature 33°C to be achieved as soon as possible or a target time to reach the goal is as soon as possible or within 6 hours from the cardiac arrest which resulted in coma) ... If BSAS remains greater than 1 initiate Propofol per orders. ... Titration Method: Frequency of rate change by 1mg/hr every 20 minutes. Analgesia ...
[DOCX File]www.myharrisregional.com
https://info.5y1.org/propofol-titration-protocol_1_8932d7.html
Sedation Protocol. 200 mcg/hr. Rebolus x 2 before increasing infusion. If continuous infusion not required, use bolus dosing. isoproterenol [mcg/min] LD: 1-2mcg. INITIAL DOSE: 1mcg/min. 1mcg/min every 15min. 10mcg/min. Central line preferred.
[DOCX File]Post-Cardiac Arrest Care / Induced Hypothermia Pathway ...
https://info.5y1.org/propofol-titration-protocol_1_bd97e5.html
There will be some exceptions to this titration (i.e. patient wildly out of control). ... you may re titrate up the drip rate as per Sedation Protocol. Careful documentation of patient’s pain and sedation assessment must be done. ... PROPOFOL tubing must be changed every 12 hours and documented in the MAR.
[DOCX File]www.nyspfp.org
https://info.5y1.org/propofol-titration-protocol_1_7b8bc5.html
Propofol titration is administered to maintain moderate sedation (sleepy but awakens when spoken to or touched). Sedation with various sedative-hypnotics can reduce the metabolic requirements of the brain and thereby reduce cerebral blood volume (Oddo et al, 2016).
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