Ketamine (Ketalar)

 

GCEMS Protocol:

  • Multiple

Indications:

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

Contraindications:

  • Age < 12
  • SBP >210 or >110 Diastolic

Side Effects:

  • tachycardia, increased BP, Hallucinations, delirium, involuntary quivering, nightmares.

Pharmacokinetics:

  • onset: <1min IV, <5 min (IM)
  • Duration: 10-15min (IV) 20-30 min (IM)

 

 

Adult

 

Procedural Sedation:

  • 1 mg/kg IV Max dose 100 mg.

Rapid Sequence Induction / Sedation post

  • 2 mg/kg IV; Max dose 200 mg. Sedation may be repeated in 15 minutes.

Chemical Restraint

  • 4 mg/kg IM; max dose 400 mg.

Pain Management

  • 0.3mg/kg IV/IO; 30mg max single dose; may repeat once after 15 minutes.