Ketamine - Revision history

Treloars: /* Section 8 - MEDICATION GUIDELINES */

2020-12-15T15:26:20Z

Section 8 - MEDICATION GUIDELINES

← Older revision		Revision as of 15:26, 15 December 2020
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	'''INDICATIONS'''		'''INDICATIONS'''
	* Sedation in the extremely agitated patient		* Sedation in the extremely agitated patient
			* Musculoskeletal Pain / Extremity Pain
			* Combative Post Resuscitation
	'''CONTRAINDICATIONS'''		'''CONTRAINDICATIONS'''
	* Hypersensitivity		* Hypersensitivity

Treloars at 14:24, 9 November 2020

2020-11-09T14:24:07Z

← Older revision		Revision as of 14:24, 9 November 2020
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	'''DOSAGE'''		'''DOSAGE'''
	* Titrate to effect, starting dose of 0.5 mg/kg.		* Titrate to effect, starting dose of 0.5 mg/kg slow IVP or 1 mg/kg IM.

	'''Onset of action:'''		'''Onset of action:'''

Treloars at 14:23, 9 November 2020

2020-11-09T14:23:38Z

← Older revision		Revision as of 14:23, 9 November 2020
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	'''DOSAGE'''		'''DOSAGE'''
	* Titrate to effect, starting dose of .5 mg/kg.		* Titrate to effect, starting dose of 0.5 mg/kg.

	'''Onset of action:'''		'''Onset of action:'''

Treloars at 14:23, 9 November 2020

2020-11-09T14:23:16Z

← Older revision		Revision as of 14:23, 9 November 2020
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	'''DOSAGE'''		'''DOSAGE'''
	* ~~Dose is 2~~ mg/kg ~~SLOW IVP OR 4 mg/kg IM, 1 dose~~		* Titrate to effect, starting dose of .5 mg/kg.

	'''Onset of action:'''		'''Onset of action:'''

Treloars at 14:04, 24 April 2020

2020-04-24T14:04:11Z

← Older revision		Revision as of 14:04, 24 April 2020
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	* Emergence Reaction - Read "Special Note" at [https://www.rxlist.com/ketamine-hydrochloride-drug.htm RxList - Ketamine]		* Emergence Reaction - Read "Special Note" at [https://www.rxlist.com/ketamine-hydrochloride-drug.htm RxList - Ketamine]
	** If this occurs give Benzodiazepine.		** If this occurs give Benzodiazepine.
	*** [[~~Sedative Hypnotics~~\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP or IM to desired effect.		*** [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP or IM to desired effect.
	*** [[~~Sedative Hypnotics~~\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect.		*** [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect.

Treloars: Created page with "==Section 8 - MEDICATION GUIDELINES== ===ANESTHETICS=== ====Ketamine / Anesthetic==== '''DESCRIPTION''' * Dissociative anesthetic, Systemic. Schedule III controlled substance..."

2020-04-22T20:25:54Z

Created page with "==Section 8 - MEDICATION GUIDELINES== ===ANESTHETICS=== ====Ketamine / Anesthetic==== '''DESCRIPTION''' * Dissociative anesthetic, Systemic. Schedule III controlled substance..."

New page

==Section 8 - MEDICATION GUIDELINES==
===ANESTHETICS===

====Ketamine / Anesthetic====
'''DESCRIPTION'''
* Dissociative anesthetic, Systemic. Schedule III controlled substance.
'''INDICATIONS'''
* Sedation in the extremely agitated patient
'''CONTRAINDICATIONS'''
* Hypersensitivity
* Penetrating eye injury.
* Pregnancy
* Due to sympathomimetic effects, contraindicated in patients with known, severe CAD (for example, patients currently experiencing STEMI).
'''PRECAUTIONS'''
* Have ventilatory support readily available
* There is no known antidote or reversal agent for Ketamine
* Emergence Reaction - Read "Special Note" at [https://www.rxlist.com/ketamine-hydrochloride-drug.htm RxList - Ketamine]
** If this occurs give Benzodiazepine.
*** [[Sedative Hypnotics|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP or IM to desired effect.
*** [[Sedative Hypnotics|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect.

'''DOSAGE'''
* Dose is 2 mg/kg SLOW IVP OR 4 mg/kg IM, 1 dose

'''Onset of action:'''
* IM administration: 3 – 5 minutes
* IV administration: 1- 2 minutes
'''Duration of action:'''
* 20 – 40 minutes when dosed at 4mg/kg IM.
* 12 – 20 minutes when dosed at 2mg/kg IV.
'''Side Effects: '''
* Hypertension, emesis, laryngospasm, tachycardia, bronchodilation, increased salivation, emergence reaction (12%).

[[Category:Medication Guidelines|Ketamine]]