Author Question: A client who is being mechanically ventilated has been receiving propofol (Diprivan) to enhance ... (Read 83 times)

newbem · **on:** Jun 25, 2018

A client who is being mechanically ventilated has been receiving propofol (Diprivan) to enhance compliance. Which of the following will occur when the medication is discontinued and the client is removed from the ventilator?

1. The client will demonstrate hypotension.
2. The nurse will need to administer Narcan.
3. The client will develop a dysrhythmia.
4. The client will quickly gain consciousness.

Question 2

A nurse is considering contraindications to fibrinolytic therapy. Which of the following patients is an appropriate candidate for fibrinolytic therapy?

1. A patent with a peptic ulcer disease
2. A patient with a history of hemorrhagic stroke
3. A patient with a history of a motor vehicle accident 1 year ago
4. A patient with inflammatory bowel disease

cegalasso · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

4
Propofol (Diprivan) is a sedative-hypnotic anesthetic used to enhance compliance with mechanical ventilation. When discontinued, the client will wake up quickly. Diprivan does not cause hypotension. Narcan is not needed to reverse Diprivan. Diprivan does not cause dysrhythmias.

Answer to Question 2

3
Contraindications to fibrinolytic therapy include active internal bleeding, active inflammatory bowel disease, active peptic ulcer disease, active pericarditis, defective homeostasis, gastrointestinal/genitourinary bleeding for less than 6 months, history of hemorrhagic stroke, known bleeding disorders, neurologic procedure within the past 2 months, recent surgery or trauma within 2 months, pregnancy, suspected aortic dissection, and uncontrolled hypertension.