Ketamine

Question 1

Ketamine - mode of action

Answer 1

Anaesthetic agent with analgesic properties

Question 2

Ketamine - indications

Answer 2

1. Intubation
2. Analgesia
3. Sedation for acute behavioural disturbance

Question 3

Ketamine - contraindications

Answer 3

1. Suspected non traumatic head injury with severe hypertension (SYS >180)

Question 4

Ketamine - precautions

Answer 4

1. May exacerbate cardiovascular conditions (uncontrolled hypertension, stroke, recent MI, cardiac failure) due to effects on HR & BP

Question 5

Ketamine - side effects

Answer 5

1. Hypertension
2. Tachycardia
3. Emergent reactions
4. Respiratory depression & apnoea
5. Nausea & vomiting
6. Hypersalivation, nystagmus, diplopia