Ketamine

(Ketalar)

GCEMS Protocol:

  • Multiple

 

Indications:

  • Procedural sedation
  • Chemical restraint
  • Pre-intubation induction agent
  • Post-intubation sedation

 

Contraindications:

  • Increased intra-ocular pressure
  • Age < 12
  • SBP > 210 or > 110 Diastolic

 

Side Effects:

  • Tachycardia
  • Increased BP
  • Hallucinations
  • Delirium
  • Involuntary quivering
  • Nightmares

 

Adult:

 

Procedural Sedation

  • 1 mg/kg IV

 

Rapid Sequence Induction / Sedation Post Airway

  • 2 mg/kg IV; Sedation may be repeated in 15 minutes

 

Chemical Restraint

  • 4 mg/kg IM; age < 65 years old

 

PEDS:

  • Not Approved