Ketamine (Ketalar)

Question 1

Class / Action

Answer 1

Dissociative Agent. Sedative. Anesthetic. / Short-term anesthetic/dissociative state

Question 2

Onset / Duration of Action

Answer 2

Onset IV/IO/IN: 30seconds / Duration 5-10min

Onset IM: 3-4min / Duration 12-25min

Question 3

Indications

Answer 3

1. Excited Delirium
2. Pain Management
3. RSI

Question 4

Contraindications

Answer 4

1. Known Hypersensitivity

2. Severe liver or renal insufficiencies

Question 5

Precautions

Answer 5

Hypertension

Question 6

Dosages / Administration

Answer 6

1. Excited Delirium: 4mg/kg IM or 2mg/kg IV
2. Refractory Pain Management: ADULT & PEDS: 0.2mg/kg IN/IM/IV/IO q 10min PRN
3. Pre-RSI: ADULT & PEDS: 2mg/kg IV/IO; MAY Use IM if IV/IO unattainable, double to IV/IO Dose
4. Post-RSI ADULT & PEDS: 0.5mg/kg IV/IO q 10min PRN

Question 7

Adverse Reactions

Answer 7

1. Laryngospasm, Respiratory Depression, Hypotension or Hypertension, N/V, Hyper-salivation
2. Transient Apnea with Rapid IV/IO Push
3. Myoclonus during induction