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Diprovan vs. Versed   Message List  
Reply | Forward Message #1716 of 5125 |
Re: Diprovan vs. Versed

In a message dated 10/26/2005 4:38:32 PM Central Daylight Time,
jayprosser@... writes:
I work in a unit where our DOC for vent. sedation is versed. We usually give
1-2mg 1-2h prn or versed drips. However, I recently began working PRN in an
ICU where Diprovan is their DOC for vent. sedation.

Has anyone had any experience using both of these? Preferences? Comments?

I look forward to hearing some good discussion.

Thanks
this is what's I've seen: versed is longer acting so it's harder to check
pt's hrly neuro status (in my case) vs dipravan which is shorter acting & can be
shut off for a few minutes to assess the pt's status underneath the sedation.
also, if a pt becomes agitated you can give a small amt of ativan additionally
to help calm them for a bit without the longer term sedation.


[Non-text portions of this message have been removed]






Thu Oct 27, 2005 6:02 pm

xmend1013
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Message #1716 of 5125 |
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I work in a unit where our DOC for vent. sedation is versed. We usually give 1-2mg 1-2h prn or versed drips. However, I recently began working PRN in an ICU...
Jay Prosser
jayprosser@...
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Oct 26, 2005
9:35 pm

We use diprivan in our ICU. We like it because the effects wear off pretty quickly when the drip is paused (for loc and neuro checks) or when discontinuing...
CYoung2277@...
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Oct 26, 2005
9:47 pm

I prefer Diprovan, but it is expensive, that's probably why, it is not used as much. It's all about the money. [Non-text portions of this message have been...
Cakatiejohnny@...
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Oct 26, 2005
10:02 pm

In my unit, (MICU/CCU), we use either, depending on MD preference. We usually hang versed w/ fentanyl for both sedation and pain control. With a greater half...
Lisa Sochulak
lisasoch
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Oct 27, 2005
1:44 am

I have to echo Lisa, Diprivan is wonderful for weaning. Versed is very lipophilic, so it takes a long time to clear, making weaning a much greater challenge....
alfalfa896@...
alfalfa896
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Oct 27, 2005
2:31 am

Diprivan is also lipophilic which is why lipid panels must be monitored when a patient is on this drug. It clears the system very easily in a patient ...
CYoung2277@...
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Oct 27, 2005
2:37 am

I work in a MICU and we have vents all the time...We usually start with propofol (diprovan) and then try to wean them to either Ativan or Versed due to the...
stan bridgman
sbridg22
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Oct 27, 2005
6:11 am

Precedex wins for weaning. Patients are alert but calm, can follow instructions and it doesn't do anything to the respiratory drive. L. Joy Casto, RN ...
Joy Casto
jcasto@...
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Oct 27, 2005
12:03 pm

hi .iam nour redwan from cairo egypt i would like us about (how can we detect the anticouagulating dose for cva patients? how we can control in hicough of him...
nour redwan
nour_redwan
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Oct 30, 2005
8:19 pm

The anticoagulating dose for CVA patients can be done easily according to the body Wt. And can be reviewed in the ACLS Handbook(AHA). NAZEM S. TURAB KAASH,...
nazem turab
nazem_t
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Nov 2, 2005
11:37 pm

My preference for weaning is Precedex. It is used in patients in CVICU for rapid weans and can be left on because it doesn't cause respiratory depression....
Joy Casto
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Oct 27, 2005
12:09 pm

We use Precedex in our CVICU and, as Joy, I also prefer it for short-term ventilated patients. I believe the manufacturer has not tested it's usage past 24...
Renee
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Oct 27, 2005
12:39 pm

There are some trials going on with Precedex for longer term use. There is a hospital trialing it for use in the ICU for detoxing over a period of 4...
Joy Casto
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Oct 27, 2005
12:52 pm

Although there is no protocol for this, we found that Precedex was a good drug for ETOH withdrawal and have been regularly using it for those post-surgical...
Renee
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Oct 27, 2005
1:15 pm

Thorazine will help with the hiccups. Chris [Non-text portions of this message have been removed]...
CYoung2277@...
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Oct 30, 2005
9:11 pm

In a message dated 10/26/2005 4:38:32 PM Central Daylight Time, jayprosser@... writes: I work in a unit where our DOC for vent. sedation is versed. We...
xmend@...
xmend1013
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Nov 2, 2005
11:36 pm
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