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Questions and Answers
What is the maximum dose of Ketamine for IV/IO administration in a Behavioral Emergency protocol, assuming the patient weighs 100 kg?
What is the maximum dose of Ketamine for IV/IO administration in a Behavioral Emergency protocol, assuming the patient weighs 100 kg?
In Ventilation Management, what is the most appropriate IV/IO dose of Ketamine for a 20 kg child, aiming for induction?
In Ventilation Management, what is the most appropriate IV/IO dose of Ketamine for a 20 kg child, aiming for induction?
If a patient exhibits a systolic blood pressure consistently below 100 mmHg, would Ketamine be an appropriate drug to administer?
If a patient exhibits a systolic blood pressure consistently below 100 mmHg, would Ketamine be an appropriate drug to administer?
Considering the use of Ketamine for pain management, in which scenario would its administration be directly contradicted?
Considering the use of Ketamine for pain management, in which scenario would its administration be directly contradicted?
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Comparing the IM dose of Ketamine for Ventilation Management in the context of sedation versus the IV/IO dose for Electrical Cardioversion, what's the difference in dosage per kg?
Comparing the IM dose of Ketamine for Ventilation Management in the context of sedation versus the IV/IO dose for Electrical Cardioversion, what's the difference in dosage per kg?
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What is the most likely adverse effect you'd monitor for following a single IM dose of Ketamine administered for Transcutaneous Pacing in an adult patient?
What is the most likely adverse effect you'd monitor for following a single IM dose of Ketamine administered for Transcutaneous Pacing in an adult patient?
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A patient is receiving repeated doses of Ketamine for a Behavioral Emergency. What is the single most important element to consider before administering subsequent dosages?
A patient is receiving repeated doses of Ketamine for a Behavioral Emergency. What is the single most important element to consider before administering subsequent dosages?
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In comparing the dosages of Ketamine for Transcutaneous Pacing, what is the key distinction between the IM and IV/IO routes?
In comparing the dosages of Ketamine for Transcutaneous Pacing, what is the key distinction between the IM and IV/IO routes?
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Is there a protocol for Ketamine administration where the dosage is explicitly calculated based on the patient's weight, and if so, which protocol is it?
Is there a protocol for Ketamine administration where the dosage is explicitly calculated based on the patient's weight, and if so, which protocol is it?
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If a patient presenting with a Behavioral Emergency needs to have Ketamine administered, and the administering healthcare professional is unsure whether the patient has any pre-existing conditions, what should they do?
If a patient presenting with a Behavioral Emergency needs to have Ketamine administered, and the administering healthcare professional is unsure whether the patient has any pre-existing conditions, what should they do?
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Study Notes
Ketamine (Ketalar) - Study Notes
- Class of Drug: General anesthetic/induction agent
- Primary Action: Central nervous system (CNS) depressant
- Maximum Behavioral Emergency Dose: 300 mg
- Routes Not Indicated for Behavioral Emergencies: Intramuscular (IM) and both Intravenous (IV)/Intraosseous (IO) and Intranasal (IN)
- IV/IO/IN Dose for Pain Management: 0.2 mg/kg
- Conditions to Avoid Ketamine in Pain Management: Chest pain/Acute Coronary Syndrome (ACS)/ST-elevation myocardial infarction (STEMI)
- IV/IO Dose for Ketamine in Ventilation Management - Induction: 2 mg/kg
- IM Dose for Ketamine in Ventilation Management - Sedation: 4 mg/kg
- Maximum Pediatric IV/IO Dose for Ventilation Management: 300 mg
- Maximum Pediatric IM Dose for Ventilation Management: 300 mg
- Repeatability in Behavioral Emergencies: Yes
- IV/IO Dose for Electrical Cardioversion: 0.2 mg/kg
- IM Dose for Electrical Cardioversion: 1 mg/kg
- IV/IO Dose for Transcutaneous Pacing: 1 mg/kg
- IM Dose for Transcutaneous Pacing: 0.1 mg/kg
- Key Contraindication for Ketamine Use: Systolic blood pressure (BP) less than 100 mmHg
- Adverse Reaction: Respiratory depression
- Ketamine in Protocols Including Sedation: Pain Management and Behavioral/Emergency, Ventilation Management and Electrical Cardioversion, Electrical Cardioversion and Transcutaneous Pacing, Behavioral Emergency and Transcutaneous Pacing
- IM Dose for Pain Management: 1 mg/kg
- IV/IO/IN Dose for Behavioral Emergencies: Not Indicated (alternative route should be considered)
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Description
This quiz covers important notes on Ketamine (Ketalar), including its classification as a general anesthetic, dosage guidelines, and conditions to avoid. Understand the appropriate dosing and indications for use in various medical scenarios. Perfect for medical students and professionals looking to reinforce their knowledge of this anesthetic agent.
