Ketamine

Question 1

Explain the MOA of Ketamine.

Answer 1

Ketamine acts as a “dissociative anesthetic.” This means the anesthetic acts to dissociate the conscious from the subconscious.

Question 2

In what type of patients is Ketamine especially helpful?

Answer 2

• those who cannot receive barbituates
• risk of CV complications
• bronchospasm in emergency intubation

Question 3

What is the ONLY indication for Ketamine in the OSF St. James system?

Answer 3

Chemical restraint in the agitated patient.

Question 4

What consideration about IM volume must be made?

Answer 4

• Deltoid and thigh can only take 2 mL

- gluteus maximus can only take 5 mL

Question 5

What is the IM dose of Ketamine?

a. 1.5 mg/kg
b. 2 mg/kg
c. 3 mg/kg
d. 4 mg/kg

Answer 5

d. 4 mg/kg IM

Question 6

What is the IV dose of Ketamine?

a. 1.5 mg/kg
b. 2 mg/kg
c. 3 mg/kg
d. 4 mg/kg

Answer 6

a. 1.5 mg/kg IV

Question 7

Which of the following is a contraindication of Ketamine?

a. respiratory distress/bronchospasm
b. uncontrolled HTN
c. decreased ICP

Answer 7

b. uncontrolled HTN

Question 8

List the contraindications of ketamine.

Answer 8

• increased ICP
• uncontrolled HTN
• CVA/epilepsy