9-13-2016 (2) Flashcards

1
Q

Propofol

marketed drug name

A

Diprivan

Generic: Propoven or Lipuro

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2
Q

Propofol function

A

short-acting sedative

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3
Q

Propofol uses

A

General anesthesia, sedation for mechanical ventilation pt.’s, procedural sedation.

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4
Q

propofol durations of action

A

5-10 minutes

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5
Q

onset action of propofol

A

15-30 seconds

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6
Q

biological half-life of propofol

A

30-60 seconds

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7
Q

Propofol is metabolized in the _______.

A

liver

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8
Q

side effects of propofol

A

1) pain on injection
2) blood pressure drops
3) apnea (respiratory depressant)
4) mild myoclonia

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9
Q

propofol is prepared by __________

A

emulsifier of soya oil and propofol

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10
Q

chemically propofol is:

A

2,6-diisopropylphenol

non-polar
hydrophobic
insoluble
pH: 6-8.5

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11
Q

propofol is administered __________

A

intravenously

NOTE: pain on injection is a side effect-lidocaine injection can remedy the pain prior to injection.

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12
Q

rare symptom of propofol

A

propofol infusion syndrome

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13
Q

Propofol infusion syndrome

A

high doses and chronic usage

1) High blood potassium
2) High triglycerides
3) Liver enlargement
4) Rhabdomyolytis

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14
Q

Rhabdomyolytis

A

rhab: striated
myo: muscle
lytis: breakdown

indicators: tea-colored urine, high creatine kinase levels

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15
Q

Horst Schulze

A

“If a mistake happens once it may be the fault of the employee. If it happens twice, it is most likely the fault of the system”

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16
Q

“Perspective can only be achieved if you put yourself in a position to see the problem from a different point of origin.”

A

Peter Kozodoy, Forbes