Agitation Flashcards

1
Q

What is the treatment for MILD agitation in adults?

SAT +1

A

Olanzapine 10mg Oral

FRAIL = 5mg oral

Repeat once after 20 mins

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2
Q

What is the treatment for MODERATE agitation in adults?

SAT +2

A

5 - 10 mg IM
FRAIL - 2.5-5mg

Repeat 10mins max 20mg

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3
Q

What is the treatment for SEVERE agitation in adults?

SAT +3

A

Ketamine IM
<60kg = 200mg
60-90kg = 300mg
>90kg = 400mg

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4
Q

What are the contras for olanzapine

A

Nil

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5
Q

What are contras for ketamine

A

Suspected nontraumatic brain injury with severe hypertention SBP over 180

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6
Q

what are the precautions for olanzapine

A
  1. may be less effective if agitation due to drug intoxication
  2. elderly/frail
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7
Q

what are the side effects for olanzapine

A

sedation

dizziness

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8
Q

what are the precautions for ketamine

A

may exacerbate cardiovascular conditions due to effects on HR and BP

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9
Q

what are the side effects for keytamine

A
hypertension
tachycardia
emergence reactions
resp depression and apnoea
nausea and vomiting
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10
Q

what is the onset peak and duration for ketamine IM

A

onset - 3-4mins

duration - 12-25mins

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11
Q

what is the onset peak and duration for olanzapine

A

onset - 15mins

duration - 12-24 hours

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