Ketmaine

Question 1

Ketamine Presentation

Answer 1

200mg in 2mL

Question 2

What is the contraindiciation of Ketmaine?

Answer 2

• Suspected Non-traumatic brain injury with severe hypertension (SBP > 180)

Question 3

What is the MoA of Ketamine?

Answer 3

• Antagonist at NMDA receptors
• May interact with Muscarinic, Opioid and other receptors

Question 4

What is the precaution for ketamine

Answer 4

• Exacerbate cardiovascular conditions (Uncontrolled hypertension, Stroke, recent MI, Carrdiac failure) due to effects on HR and BP

Question 5

What are the Adverse effects of Ketamine?

Answer 5

CV: Hypertension, Tachycarida
CNS: Emergence reactions (Hallucinations, irrational behaviour); Increased Skeletal Muscle tone
Respiratory: Transient respiratory depression and apnoea
GI: Nausea and Vomiting
Other: Injection site pain, lacrimation, hypersalivation, diplopia, nystagmus

Question 6

Ketamine Onset of action from IV, IM, IN

Answer 6

IV: 30 Seconds
IM: 3-4 minutes
IN: 5 minutes