Ketamine, Fentanyl, & Meloxicam

Question 1

Ketamine
1. Use (2)
2. Dose range
3. Side effects (5-7)

Answer 1

1. Sedation (analgesia), CRI
   - Some pain relief
2. 2-4mg/kg
3. Increased HR & BP, Increased intracranial, Eyes open, Hypersalivation, Delirium, Apneustic breathing (holding breath)

Question 2

Ketamine
1. Contraindications (4-5)
2. Drug class

Answer 2

1. Head trauma, Glaucoma, Cardiac disease, Seizure hx, Liver or Kidney issues.
2. Dissociative anesthetic

Question 3

Fentanyl
1. Use (3)
2. Dose range
3. Side effects (4-6)

Answer 3

1. CRI, Anesthesia (analgesia), Mod-severe pain
2. 2-5mcg/kg
3. Sedation, Resp depression, Bradycardia, Panting, Nausea/Vomiting, Excitement/Dysphoria.
   - Constipation/Urinary retention.

Question 4

Fentanyl
1. Contraindications (3)
2. Drug class
3. Reversal

Answer 4

1. Respiratory compromise, Head trauma, Liver dysfunction.
2. Opioid
3. Naloxone
   - Naltrexone (longer lasting) or butorphanol (partial)

Question 5

Meloxicam
1. Use (3)
2. Dose range (mult)
3. Side effects (3-5)

Answer 5

1. Mild-mod pain, Anti-inflammatory, Antipyretic.
2. Dependent on species and mode of administration.
   - 0.2mg/kg SQ then 0.1mg/kg PO
3. GI upset (V/D/Inapp.), GI ulcers/bleeding, Renal toxicity/damage
   - Inj site reactions
   - Hepatotoxicity (rare)

Question 6

Meloxicam
1. Contraindications (3-5)
2. Drug class

Answer 6

1. Dehydration, Concurrent use of other NSAIDs/Corticosteroids, Pre-existing Renal/Hepatic/GI disease.
2. NSAID COX-2 inhibitor