36 - Adult - ExDS And Chemical Restraint

Question 1

T/F: For the ExDS patient, IV fluid therapy with NS should be initiated, even if the patient is normotensive.

Answer 1

True. Rhabdomyolysis with accompanying hyperkalemia secondary to fighting restraints can be treated with NS.

Question 2

Secondary causes of ExDS include:

Answer 2

• EtOH use
• Drug abuse
• Hypoglycemia/other medical problem
• Psychosis
• Head injury

Question 3

After a coordinated takedown of the adult ExDS patient, what may be administered to stop combative behavior?

A. 2 mg IV Versed
B. 5 mg/kg IM Ketamine

Answer 3

B. 5 mg/kg IM Ketamine

For ALS providers, Ketamine is the appropriate medication for restraint

Question 4

T/F: Ketamine for the adult ExDS patient may given twice as (2) 5 mg IM doses with medical control order.

Answer 4

True. The first dose is standing orders, the second requires medical control orders.