Exited delirium syndrome

Question 1

What are the differential impressions?

Answer 1

1. exited delirium syndrome
2. conditions that result in agitated behavior that pose imminent threat or danger to self or others.

exclusion- agitation due to medical condions including but not limited to head trauma, hypoglycemia, and hypoxia

Question 2

Basic life support actions # 1

Answer 2

universal care line

Question 3

Basic life support actions # 2

Answer 3

Patient safety guideline

Reduce external stimuli - lights sirens horns

Question 4

Basic life support actions # 3

Answer 4

Patient restraint guideline

Patient must be adequately controlled prior to loading and transporting

Question 5

Basic life support actions # 4

Answer 5

hyperthermia guideline as necessary / indicated

Question 6

Advanced life support actions/ considerations # 1

Answer 6

Adulte male ketamine 450 mg im

Question 7

Advanced life support actions/ considerations # 2

Answer 7

Adult female ketamine 350 mg im

Question 8

What is the first line therapy ?

Answer 8

Ketamine and there are no absolute contraindications

Question 9

When giving ketamine what should you be prepared for ?

Answer 9

Hypoventilation with progresive airway ventilation oxygenation managment

Question 10

Advanced life support actions/ considerations # 3

Answer 10

give fluids 10 ml kg iv io as neaded

Pedi 20 ml kg as needed

Question 11

what is second line therapy for metabolic acidos managment?

Answer 11

fluids

Question 12

Advanced life support actions/ considerations # 4

Answer 12

For dissociation emergence- unlikely and rare: give

• adult male 250 mg im
• adult female 200 mg im

Question 13

Dissociation emergence is given when

Answer 13

5-10 min after initial dose for inadequate dissociation

Question 14

what should you consider when giving emergence dose of ketamine besides time

Answer 14

where you give it, go to seperate muscle group

Question 15

emergence dose does not deepen sedation, it….

Answer 15

only prolongs duration of action

Question 16

for what should you contact medical control?

Answer 16

Use of ketamine on pediatrics