168 Combative Patient Flashcards

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1
Q

What are the INDICATIONS for the COMBATIVE PATIENT medical directive?

A

Combative
Agitation that requires sedation for patient safety

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2
Q

What are the CONTRAINDICATIONS for MIDAZOLAM in the COMBATIVE PATIENT Medical Directive?

A

Allergy

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3
Q

What are the CONDITIONS for MIDAZOLAM in the COMBATIVE PATIENT Medical Directive?

A

Over 18 years old

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4
Q

What is the DOSE for MIDAZOLAM in the COMBATIVE PATIENT Medical Directive?

A

Up to 0.1mg/kg

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5
Q

What is the MAX DOSE for MIDAZOLAM in the COMBATIVE PATIENT Medical Directive?

A

5mg

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6
Q

What is the dosing INTERVAL for MIDAZOLAM in the COMBATIVE PATIENT Medical Directive?

A

5 minutes

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7
Q

How MANY doses can you give for MIDAZOLAM in the COMBATIVE PATIENT Medical Directive?

A

N/A, max of 10mg

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8
Q

What is the ROUTE of administration for MIDAZOLAM in the COMBATIVE PATIENT Medical Directive?

A

IV/IM/IN

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9
Q

What is the MAXIMUM dose weight for MIDAZOLAM in the COMBATIVE PATIENT Medical Directive?

A

50kg

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10
Q

What are the CONTRAINDICATIONS for KETAMINE in the COMBATIVE PATIENT Medical Directive?

A

Allergy

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11
Q

What are the CONDITIONS for KETAMINE in the COMBATIVE PATIENT Medical Directive?

A

18 years
Suspected excited delirium
Severe violent psychosis

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12
Q

What is the DOSE for KETAMINE in the COMBATIVE PATIENT Medical Directive? 18-65

A

5mg/kg up to 500mg

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13
Q

What is the DOSE for KETAMINE in the COMBATIVE PATIENT Medical Directive? 65 +

A

3mg/ kg up to 300mg

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14
Q

What is the dosing INTERVAL for KETAMINE in the COMBATIVE PATIENT Medical Directive?

A

N/A

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15
Q

How MANY doses can you give for KETAMINE in the COMBATIVE PATIENT Medical Directive?

A

1

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16
Q

What is the ROUTE of administration for KETAMINE in the COMBATIVE PATIENT Medical Directive?

A

IM

17
Q

What is the MAXIMUM dose weight for KETAMINE in the COMBATIVE PATIENT Medical Directive?

A

100kg

18
Q

What should we consider with our IM injections for ketamine?

A

Volumes over 5ml requires 2 injections in the vastus lateralis

19
Q

What is the volume of fluid that can be injected into the vastus lateralis

A

5ml

20
Q

What is the volume of fluid that can be injected into the deltoid?

A
21
Q

What are 2 considerations post-sedation?

A

ETCO2 monitering and IV