Propofol is a lipid solution containing 1.1 kcal /mL. = Total Propofol: kcal ... Total Calorie Intake Overall Total: kcal . The octanol/water partition coefficient for propofol is 6761:1 at a pH of 6 to 8.5. The patient weighs 160 pounds (lb). With its ability to fuel the body and encourage muscle growth, dextrose can be used as either a weightlifting supplement or nutritional supplement for hospitalized patients. Rather than providing a recommended nutritional regimen, this evaluation and analysis tool will summarize a patient's nutritional intake as it relates to total calories, macronutrients, fluid, and weight-based nutritional metrics (eg, protein per kg, kcal per kg, etc.). The induction of anesthesia with propofol should be based on LBW; however, the maintenance of anesthesia for a TIVA should be based on TBW. All rights reserved. ClinCalc: ©2020 - ClinCalc LLC. Need to quickly guesstimate a calorie count? When provided at an infusion rate exceeding 10 mL/hr, the caloric value of the propofol in combination with tube feeds can lead to significant overfeeding. Undesirable effects such as cardiorespiratory depression are likely to occur at higher blood concentrations which result from bolus dosing or rapid increases in … Propofol is a unique sedative–hypnotic agent with a rapid onset and offset of sedation with short-term administration. General. If the patient is on enteral nutrition and parenteral nutrition at the same time, the prescribed energy and protein intake will still be the FINAL amount as … So they are the original “brain food”, which is even more reason to eat that pasta you have been craving. All rights reserved. Calculate the grams of dextrose, calories, sodium, chloride, and potassium content of the following: a) D5W NSS at 100 ml/hr b) D5W ½ NSS with 20 mEq KCl at 75 ml/hr . The lipid emulsion used in propofol provides 1.1 kcal/mL Determination of Ideal and Adjusted Body Weight If the patient is greater than 20% above ideal body weight (IBW), the adjusted body weight should be used in the calculation of enteral nutrition rates for surgical and trauma patients. For U.S. Healthcare Professionals Indications and Usage. The selection of the appropriate tube feed formulation is a very patient-specific decision. This calculator is intended to provide clinicians with a 'snapshot' of a patient's existing enteral and parenteral nutrition status. Any unused portions of Propofol Injectable Emulsion, reservoirs, dedicated administration tubing and/or solutions containing Propofol Injectable Emulsion must be discarded at the end of the anesthetic procedure or at 12 hours, whichever occurs sooner. CARBOHYDRATES (provide 3.4 kcal/gram) - Make up the difference with sugar! Propofol is very slightly soluble in water and is therefore formulated as a white, oil-in-water emulsion. Calculators for Emergency and Anesthetic drugs, Constant Rate Infusions (CRI), IV Fluid Rates, Chocolate Toxicity, Calorie requirements for dogs and cats and Unit conversion (including Weight, Temperature, Body Surface Area, mg to ug, cc's to ounces's, cm's to inches). For our purposes, use the lower limit of 50 mcg/kg/min. If the patient seems to require a lot of propofol, give 25-50 µg fentanyl boluses. Manufacturers may change an enteral nutrition formulation at any time. Kane SP. with a final rate of 75 ml/hr by day 3, calculate the calories and protein that the final rate = 75ml/hr X 24 would provide. ClinCalc: ©2020 - ClinCalc LLC. PubMed. Need to quickly guesstimate a calorie count? New! Calculators for Emergency and Anesthetic drugs, Constant Rate Infusions (CRI), IV Fluid Rates, Chocolate Toxicity, Calorie requirements for dogs and cats and Unit conversion (including Weight, Temperature, Body Surface Area, mg to ug, cc's to ounces's, cm's to inches). 3 A nutritional dosing weight uses a correction adjustment of 25% (see equation below) to avoid underfeeding ... evidence to support the use of adjusted body weight in calculating calorie requirements. The data used is accurate as of February 2013, but may change with time. The following factors may play a role in choosing a formulation: For complicated patients, consider consultation with a registered dietitian for recommendations regarding appropriate enteral feeding formulas and supplements. Asterisk denotes mandatory field. Propofol provided an average 215 kcals/day (range 79–535) which comprised 9.5% (range 3.4–24.9) of TEE. http://www.nhlbi.nih.gov/health/public/heart/obesity/lose_wt/bmi_dis.htm. First convert mcg/kg/min into mg/hr. Overfeeding is associated with hyperglycemia, fatty liver, hypertryglyceridemia, and … New! Calcium correction calculator in standard in SI units! T max = maximum temperature (degrees Celsius). New! Propofol infusion syndrome may occur; this is characterized by severe metabolic acidosis, hyperkalemia, lipemia, rhabdomyolysis, hepatomegaly, and cardiac and renal failure (esp with prolonged, high-dose infusions >5 mg/kg/hr for >48 hr) Perioperative myoclonus reported with administration 178.27 Propofol is slightly soluble in water and, thus, is formulated in a white, oil-in-water emulsion. 2. See Also: Sources. Propofol blood concentrations at steady-state are generally proportional to infusion rates, especially in individual patients. F. As with propofol, the ketamine infusion rate was designed for adults of average weight (60-80 kg). Penn State 2003 b: Mifflin a (0.96) + V E (31) + T max (167) - 6212. a Mifflin = resting energy expenditure calculated using the Mifflin St. Jeor Equation (5) V E = minute ventilation (L/min). Keyword history. It should be noted that the ASPEN/SCCM guidelines recommend an alternative approach when dosing obese patients.4 According to these guidelines, obese patients (BMI > 30 kg/m2) should receive 11-14 kcal/kg (actual weight) or 22-25 kcal/kg (ideal weight) and protein requirements should be dosed using ideal weight (grade D). PropoFlo™ Injection is a sterile, nonpyrogenic emulsion containing 10 mg/mL of propofol suitable for intravenous administration. The #1 Veterinary Drug Calculator website and the #1 Veterinary Apps Drug Calculator! In obese patients (>20% ideal weight), this calculator uses a nutritional dosing weight.3 A nutritional dosing weight uses a correction adjustment of 25% (see equation below) to avoid underfeeding (with ideal weight) or overfeeding (with actual weight). Well this app will help with that too! We've filled out some of the form to show you this clinical calculator in action. 60%/2014. $$\\ Nutritional\;weight = IdealBW + 0.25*(ActualBW - IdealBW)$$. The FDA recently issued an Emergency Use Authorization for the use of Propoven 2% Emulsion as a result of the continued shortage of propofol which is … Propofol Inj (20 ml) 1% - 20 ml Injection (Propofol) drug information. For an average-size (70kg) patient, 40 mcg/kg/min propofol will provide 16.8 ml/hr propofol, which equals 443 kCal/day. Start a Nipride® (nitroprusside) infusion at 2 mcg/kg/min for a patient in hypertensive crisis. 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