Ketamine Indications and Contraindications Quiz
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Questions and Answers

What is the adult dosing of ketamine hydrochloride for patients weighing 50 – 75 kg?

  • 2 mL – 3 mL
  • 4 mL
  • 400 mg
  • 200 – 300 mg (correct)
  • Which adverse effect is associated with ketamine hydrochloride use?

  • Laryngospasms (correct)
  • Constipation
  • Skeletal muscle paralysis
  • Hypoglycemia
  • What is the mechanism of action of ketamine hydrochloride termed as?

  • Hypnotic anesthesia
  • Balanced anesthesia
  • Dissociative anesthesia (correct)
  • Regional anesthesia
  • How fast does the onset of action of ketamine hydrochloride occur when administered intravenously?

    <p>&lt; 30 seconds</p> Signup and view all the answers

    What precaution should be taken with patients who have a history of Schizophrenia before administering ketamine hydrochloride?

    <p>Use with caution</p> Signup and view all the answers

    What is the duration of action for analgesia after administering ketamine hydrochloride intramuscularly?

    <p>5 – 10 minutes</p> Signup and view all the answers

    Which system does ketamine hydrochloride selectively depress before affecting the more ancient cerebral centers and pathways?

    <p>Thalamoneocortical system</p> Signup and view all the answers

    What are emergence reactions, as mentioned in the text, associated with the use of ketamine hydrochloride?

    <p>(Hallucinations, Delirium)</p> Signup and view all the answers

    What is the recommended dose of ketamine for pain management in a patient not in respiratory failure?

    <p>25-50 mg IM</p> Signup and view all the answers

    In what situation can ketamine be administered 10 minutes after an initial dose of fentanyl for pain relief?

    <p>When the patient is in respiratory failure</p> Signup and view all the answers

    What is the recommended route of administration for ketamine when used for procedural sedation?

    <p>100mg/ 1ml IV/IO push over 1 minute may repeat every 10 - 20 mins</p> Signup and view all the answers

    What is the adult dosing of ketamine for rapid sequence induction?

    <p>200 mg IV/IO over 1 min</p> Signup and view all the answers

    When should ketamine be administered for pain relief in a patient not in respiratory failure?

    <p>10 minutes after the initial fentanyl dose</p> Signup and view all the answers

    What is one contraindication for administering ketamine?

    <p>Uncontrolled Hypertension</p> Signup and view all the answers

    what is the procedure dose of ketamine when a pt is experiencing Pain – or – Severe bronchospasm?

    <p>10mg/ 0.1ml IV/IO over 10 minutes</p> Signup and view all the answers

    Study Notes

    Ketamine Hydrochloride Dosing

    • For patients weighing 50-75 kg, the adult dosing of ketamine hydrochloride is not specified.
    • The recommended dose of ketamine for pain management in a patient not in respiratory failure is not specified.
    • The adult dosing of ketamine for rapid sequence induction is not specified.

    Adverse Effects and Precautions

    • Ketamine hydrochloride use is associated with emergence reactions.
    • Patients with a history of Schizophrenia should be carefully monitored before administering ketamine hydrochloride.

    Mechanism of Action and Pharmacodynamics

    • The mechanism of action of ketamine hydrochloride is termed as selectively depressing the thalamocortical system.
    • The onset of action of ketamine hydrochloride occurs rapidly, within minutes, when administered intravenously.
    • The duration of action for analgesia after administering ketamine hydrochloride intramuscularly is not specified.

    Contraindications and Administration

    • One contraindication for administering ketamine is not specified.
    • Ketamine can be administered 10 minutes after an initial dose of fentanyl for pain relief in certain situations.
    • The recommended route of administration for ketamine when used for procedural sedation is not specified.
    • The procedure dose of ketamine when a patient is experiencing Pain or Severe bronchospasm is not specified.

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    Test your knowledge on the indications and contraindications of using Ketamine in medical procedures. Explore scenarios involving pain management, severe bronchospasm, procedural sedation, and more.

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