A client has had an unexpected reaction to propofol (Diprivan) and may be developing propofol infusion syndrome (PIF). What assessment findings are important for the nurse to relay to the client's health care provider?
Standard Text: Select all that apply.
1. The client's urinary output has fallen to almost nothing over the last 4 hours.
2. The client's urine is cola-colored.
3. The client's serum potassium level drawn an hour ago is low normal.
4. The client is complaining of right upper quadrant pain.
5. The client has a fever.
Correct Answer: 1,2,4
Rationale 1: This could be a sign of renal failure, which is a sign of PIF.
Rationale 2: This can be a sign of liver problems or rhabdomyolysis, which are both associated with PIF.
Rationale 3: One of the findings associated with PIF is hyperkalemia, not hypokalemia.
Rationale 4: Pain in the right upper quadrant may be pain from the liver. Liver enlargement is associated with PIF.
Rationale 5: Temperature elevation is not associated with PIF.
Global Rationale: Decreased urine output, cola-colored urine, and pain in the right upper quadrant are all signs of PIF. One of the findings associated with PIF is hyperkalemia, not hypokalemia. Temperature elevation is not associated with PIF.
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