Propofol vs
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Questions and Answers

Which drug induces hypnosis or sleep?

  • Soybean oil
  • Methohexital
  • Thiopental
  • Propofol (correct)
  • What is the main advantage of propofol as an anesthetic?

  • It causes increased plasma triglycerides concentrations
  • It induces unconsciousness within 30 seconds (correct)
  • It supports bacterial growth
  • It is an insoluble drug
  • What is the purpose of soybean oil in the formulation of propofol?

  • To emulsify the drug (correct)
  • To induce hypnosis
  • To reduce anxiety
  • To support bacterial growth
  • Which organ is responsible for the rapid and extensive metabolism of propofol?

    <p>Liver</p> Signup and view all the answers

    What is the major metabolic pathway for propofol?

    <p>Glucuronidation</p> Signup and view all the answers

    What is the elimination half-time of propofol?

    <p>40 to 60 minutes</p> Signup and view all the answers

    Which patient population exhibits a decreased rate of plasma clearance of propofol?

    <p>Patients older than 60 years of age</p> Signup and view all the answers

    Which drug has replaced thiopental for induction of anesthesia in many clinical situations?

    <p>Propofol</p> Signup and view all the answers

    What is the typical conscious sedation dose of propofol for IV sedation?

    <p>75 to 100 mg/kg/minute</p> Signup and view all the answers

    Which drug may be added to propofol for continuous IV sedation in selected patients?

    <p>Midazolam</p> Signup and view all the answers

    Which drug has emerged as the agent of choice for sedation during brief gastrointestinal endoscopy procedures?

    <p>Propofol</p> Signup and view all the answers

    Which effect of propofol is related to its ability to depress spinal cord activity?

    <p>Antipruritic effect</p> Signup and view all the answers

    Propofol possesses antiepileptic properties due to its inhibition of which ion channels?

    <p>Chloride ion channels</p> Signup and view all the answers

    Which formulation of propofol may cause bronchoconstriction in asthmatic patients?

    <p>Propofol with metabisulfite</p> Signup and view all the answers

    What effect does propofol have on cerebral blood flow and intracranial pressure?

    <p>Decreases cerebral blood flow and intracranial pressure</p> Signup and view all the answers

    Which of the following is true about the impact of propofol on sympathetic nervous system activation?

    <p>Propofol blunts the increase in epinephrine concentration associated with a sudden increase in desflurane concentration.</p> Signup and view all the answers

    Which patients may experience exaggerated blood pressure effects from propofol?

    <p>All of the above</p> Signup and view all the answers

    What is the effect of propofol on heart rate?

    <p>Propofol has no effect on heart rate.</p> Signup and view all the answers

    What is the risk of bradycardia-related death during propofol anesthesia?

    <p>1 in 100,000</p> Signup and view all the answers

    Which of the following drugs is frequently added to propofol in attempts to prevent pain with IV injection?

    <p>Lidocaine</p> Signup and view all the answers

    Which of the following is NOT a difference between Diprivan and generic propofol?

    <p>Method of administration</p> Signup and view all the answers

    Which of the following is a characteristic of Ampofol, a low-lipid emulsion of propofol?

    <p>Contains 5% soybean oil and 0.6% egg lecithin</p> Signup and view all the answers

    What is the mechanism of action of propofol?

    <p>Selective modulation of GABA A receptors</p> Signup and view all the answers

    Which of the following is NOT true about propofol's effect on intraocular pressure?

    <p>Propofol increases intraocular pressure during laparoscopic surgery.</p> Signup and view all the answers

    Which of the following is NOT true about propofol's effect on coagulation?

    <p>Propofol alters tests of coagulation and platelet function.</p> Signup and view all the answers

    Which of the following is NOT true about cloudy urine caused by propofol?

    <p>Cloudy urine caused by propofol is considered to be detrimental to renal function.</p> Signup and view all the answers

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