Ketamine Flashcards
1
Q
Indications
A
Severe pain not controlled by opiate
2
Q
Contraindications
A
Known severe allery
age under 1 year
3
Q
Cautions
A
Altered LOC
Shock
Myocardial Ischemia
Opiates or Midazolam
Age => 75 years
SOAM75
4
Q
Action
A
- NMDA receptor bloker, reducing excitory neurotransmitters in the brain
- Low does = analgesia
- Large dose = amnesia/dissociation
- High dose = anaesthesis
Metabolised in the liver
5
Q
Side Effects
A
Hypertension
Tachycardia
Apnoea
Nausea & Vomiting
Sedation
Hallucinations
SH+THAN
6
Q
Administration & Dose
A
Dilute 100mg (1ml) to 100ml glucose bag. = 1mg/ml
IV: 0.25mg/kg to max 25mg over 15 mins. Repeat as required.
IM : 0.5mg / kg to max 50mg, repeat after 20 mins
7
Q
Onset
A
IV: 1-2 min
IM : 5-10 min
8
Q
Duration
A
10-60 mins
