Ketamine 50mg/ml IM Sedation

Question 1

Ketamine 50mg/ml Indications

Answer 1

Management of severe agitated in whom de-escalation methods or calming methods have been unsuccessful or are inappropriate in the following situations:

• Suspected severe Acute Behavioural Disturbance (ABD) including severe agitation precipitated by drug misuse or psychiatric disorder
• Severe agitation where reversible causes have been excluded (i.e hypoxia and hypoglycaemia).

Question 2

Ketamine 50mg/ml Exclusion criteria

Answer 2

• Aged under 12
• Patients with current airway compromise or where securing the airway will be difficult;
• Known previous adverse reaction/ hypersensitivity
• Uncontrolled hypertension (SBP ≥ 180mmHg and or DBP ≥ 110mmHg).
• acute porphyria.

Question 3

Ketamine 50mg/ml dose

Answer 3

4mg/kg single dose