I think that Michael Jackson nurse's story is a hoax ........

[LoneTree]

I think that the nurse claiming that Michael Jackson asked her to find an IV sedative for him is a hoax.
Her story just does not make sense.
I think she is seeking her 15 minutes of fame through defaming Michael Jackson (if she is telling a lie, then it is defaming Jackson).
I am not saying Jackson did not use norcotics prescriptions, it is just her story does not make sense.

 

[Smurfy]

why doesnt it make sense?

 

[LoneTree]

Knowing the drug, it has to be given by continuous IV infusion. The effect stops as soon as you stop IV infusion. So it can not cause addiction.
Knowing how medical system works.
Knowing her qualifications. She is only a nurse/nutritionist.
The drug is only used in ER, and she is not an ER nurse (only someone working in ER could have stolen it for him). And only an ER nurse would (off hand) know the effects of this kind of medicine.
He had so many other doctors that he paid well.
I just have a strong instinctal feeling that it is a hoax.

 

[lartinos]

This dood loved his injectable drugs... jeez

 

[pdaddyII]

Knowing the drug, it has to be given by continuous IV infusion. The effect stops as soon as you stop IV infusion. So it can not cause addiction.
Knowing how medical system works.
Knowing her qualifications. She is only a nurse/nutritionist.
The drug is only used in ER, and she is not an ER nurse (only someone working in ER could have stolen it for him). And only an ER nurse would (off hand) know the effects of this kind of medicine.
He had so many other doctors that he paid well.
I just have a strong instinctal feeling that it is a hoax.

Wrong, it's a standing order for any patient on a vent and it is given sometimes without a continuous IV infusion in order to induce sedation for invasive procedures. It will put you to sleep and keep you asleep even when stopped UNLESS there is something forcing you awake ie a 7.5" intubation tube. It usually wears off after around 5min of discontinuing it. But like i said if there isn't anything forcefully provoking consciousness, you will continue to sleep. Every single one of my patients is on this drug and I am constantly taking it off to assess neuro status. A lot of times I have to be the one to deliver noxious stimuli to wake them, even with large surgical incisions and oral/nasal endotracheal tubes down their throats or noses.

 

[AAP]

Could imagine how many hundred of thousands of dollars someone could make for taking pics with their cell phone of Michael in the hospital that day?

 

[LoneTree]

Wrong, it's a standing order for any patient on a vent and it is given sometimes without a continuous IV infusion in order to induce sedation for invasive procedures. It will put you to sleep and keep you asleep even when stopped UNLESS there is something forcing you awake ie a 7.5" intubation tube. It usually wears off after around 5min of discontinuing it. But like i said if there isn't anything forcefully provoking consciousness, you will continue to sleep. Every single one of my patients is on this drug and I am constantly taking it off to assess neuro status. A lot of times I have to be the one to deliver noxious stimuli to wake them, even with large surgical incisions and oral/nasal endotracheal tubes down their throats or noses.

Again, my point is, why would Jackson ask her for this med?
She was his nutritionist. She does not work in a setting where she would have access to it.
I only mentioned anesthesia because that is the most common use. When patients are intubated, they also need IV sedation.

What is your point except for the strong desire to say 'wrong'. When you are evaluating a patient for extubation (or weaning off ventilator), you have to turn off sedation.
When it's effect wears off (in a few minutes), the person is arousable, just like any other normal person who is not on sedation.
If someone has bad insomnia, person would usually not need just the medicine to induce sleep; usually an insomniac person will also need sedation to keep him asleep for several hours.

 

[guest username]

I'm suspicious of using propofol for insomnia. Not sure what would happen if you let it wear off and didn't try to awaken them. Neither me nor the nurses wait long enough after propofol wears off to awaken someone. As soon as I reduce a fracture/dislocation and get it splinted, we're already trying to awaken them so we can get them out the door to make room for the next patient.

There is an abuse potential for propofol because in low doses it can make someone very relaxed and have lucid dreams. In fact, it's used by some governments in a cocktail combined with other drugs to induce a state of awareness that makes one disinhibited and likely to divulge some very protected secrets.

I've never heard of a nurse administering propofol. I've always had to administer it myself in every state I've worked (I've worked in 7 states, still licensed in them all).

 

[lartinos]

What kind of uppers was he on that he
He couldn't sleep? Sounds like the last days of Elvis...

 

[pdaddyII]

I'm suspicious of using propofol for insomnia. Not sure what would happen if you let it wear off and didn't try to awaken them. Neither me nor the nurses wait long enough after propofol wears off to awaken someone. As soon as I reduce a fracture/dislocation and get it splinted, we're already trying to awaken them so we can get them out the door to make room for the next patient.

There is an abuse potential for propofol because in low doses it can make someone very relaxed and have lucid dreams. In fact, it's used by some governments in a cocktail combined with other drugs to induce a state of awareness that makes one disinhibited and likely to divulge some very protected secrets.

I've never heard of a nurse administering propofol. I've always had to administer it myself in every state I've worked (I've worked in 7 states, still licensed in them all).

We are allowed to start gtts and even give bolus infusion doses. For some reason though we are not allowed to give one time pushes. Critical care nurses that is.