Ketamine

Question 1

how does it come

Answer 1

200mg in 2 mls

Question 2

contras

Answer 2

1. hypersensitivity
2. active cardiac disease

Question 3

indications

Answer 3

1. 2nd line agent for severe traumatic pain post 200mcg fentanyl administration
2. 1st line agent severe traumatic pain if no other administration available
3. 1st line agent severely disturbed/abnormal behaviour RASS 4
4. combative TBI

Question 4

Route dose and Dilution for:

2nd line agent for severe traumatic pain post 200mcg fentanyl administration

Answer 4

IV

5-20mg titrated (1-2ml) - repeat 5-10mg every 10 mins

Dilute with 18mls NaCl to make 20mg/ml

Question 5

Route and Dose for:

1st line agent severe traumatic pain if no other administration available

Answer 5

IM
1mg/kg (max 100mg)
repeat 0.5mg/kg every 5min

Question 6

Route, dose and dilution for:

1st line agent severely disturbed/abnormal behaviour RASS 4

Answer 6

IM

4mg/Kg (max 400mg) - repeat IV maintenance 0.5mg/kg every 5 mins

consider 5ml Vanishing point

Question 7

Route and dose for:

combative TBI

Answer 7

IM
2mg/Kg (max 200mg)
repeat IV maintenance 0.5mg/kg every 5 mins