Can a nurse administer propofol?

Conclusions: Trained nurses and endoscopists can administer propofol safely for endoscopic procedures. Nurse-administered propofol sedation is one potential solution to the high cost associated with anesthetist-delivered sedation for endoscopy.

Why can’t Nurses push propofol?

In my opinion, the default position of an RN who is asked to bolus propofol should be, “no.” My rationale is this: Nurses are authorized by many state boards of nursing to administer moderate sedation. Propofol is meant to cause deep sedation. It can cause apnea, bradycardia, and hypotension.

How do you administer propofol?

Shake propofol well before using. Inject IV over 3 to 5 minutes and titrate to desired level of sedation. Shake well before using. Administer only by persons skilled in the medical management of critically ill patients and trained in cardiovascular resuscitation and airway management.

What does nurse-administered propofol fall under?

Nurse-Administered Propofol Sedation (NAPS) is “The administration of propofol by a registered nurse under the direction of a physician who has not been trained as an anesthesiologist.” The target level is deep sedation.

Can you IV push propofol?

Adult Patients In adults, anesthesia can be maintained by administering DIPRIVAN by infusion or intermittent IV bolus injection. The patient’s clinical response will determine the infusion rate or the amount and frequency of incremental injections.

When do you administer propofol?

Diprivan (propofol) Injectable Emulsion is a sedative-hypnotic agent used to help you relax before and during general anesthesia for surgery or other medical procedure. It is also used in critically ill patients who require a breathing tube connected to a ventilator.

Who is allowed to administer propofol?

The Warnings section of the drug’s package insert (Diprivan®, AstraZeneca 02/14, accessed 02/19) states that propofol used for sedation or anesthesia “should be administered only by persons trained in the administration of general anesthesia and not involved in the conduct of the surgical/diagnostic procedure.” …

Can an RN give anesthesia?

Certified registered nurse anesthetists administer anesthesia to patients. These professionals often work within teams alongside anesthesiologists. Before administering anesthesia, CRNAs conduct patient evaluations to decide the type and amount of anesthesia they need to use.

How much propofol will knock you out?

For general anesthesia, anesthesiologists use a large “bolus” of between 100 and 200 milligrams of propofol to put patients under and then a continuous infusion of much smaller amounts (in the micrograms per minute, with the exact amount depending on the person’s weight) to keep patients under.

What happens if you push propofol too fast?

Rapid administration or accidental overdosage of propofol may cause cardiopulmonary depression. Respiratory arrest (apnea) may be observed. In cases of respiratory depression, stop drug administration, establish a patent airway, and initiate assisted or controlled ventilation with pure oxygen.

When should you not use propofol?

In some cases, you may not be able to use propofol. The FDA cautions recommends against using propofol if you are allergic to eggs, egg products, soybeans, or soy products.

Can a registered nurse administer propofol?

The registered nurse (RN) may administer Propofol, Etomidate and neuromuscular blocking agents (only Succinylcholine , Rocuronium and Vecuronium) to the non-intubated patient in a hospital setting for the purpose of rapid sequence intubation when the clinical presentation of impending respiratory failure is imminent.

Should RNS administer propofol?

While it generally is accepted for RNs to administer propofol on a slow drip in intensive care units where most patients are intubated and mechanically ventilated, nurse-administered propofol is expanding to gastrointestinal endoscopy, ophthalmology, plastic surgery, and dental surgery.

Is propofol safe if given by non-anesthesia providers?

Statement of the Problem: Evidence is accumulating that Non-Anesthesiologist-Administered Propofol (NAAP) sedation has a safety and efficacy profile comparable or superior to that provided by benzodiazepines with or without opioids.

Is propofol considered moderate sedation?

Propofol in combination with fentanyl and/or midazolam can be titrated to moderate levels of sedation without substantial loss of satisfaction and with shorter recovery times compared with propofol titrated to deep sedation throughout the procedure.