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Ketamine - Revision history
2026-10-03T06:02:13Z
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Mfrdmanager: Created page with "==Section 8 - MEDICATION GUIDELINES== ===ANESTHETICS=== ====Ketamine / Anesthetic==== '''DESCRIPTION''' * Dissociative anesthetic, Systemic. Schedule III controlled substance..."
2020-11-12T19:33:28Z
<p>Created page with "==Section 8 - MEDICATION GUIDELINES== ===ANESTHETICS=== ====Ketamine / Anesthetic==== '''DESCRIPTION''' * Dissociative anesthetic, Systemic. Schedule III controlled substance..."</p>
<p><b>New page</b></p><div>==Section 8 - MEDICATION GUIDELINES==<br />
===ANESTHETICS===<br />
<br />
====Ketamine / Anesthetic====<br />
'''DESCRIPTION'''<br />
* Dissociative anesthetic, Systemic. Schedule III controlled substance.<br />
'''INDICATIONS'''<br />
* Sedation in the extremely agitated patient<br />
'''CONTRAINDICATIONS'''<br />
* Hypersensitivity<br />
* Penetrating eye injury.<br />
* Pregnancy<br />
* Due to sympathomimetic effects, contraindicated in patients with known, severe CAD (for example, patients currently experiencing STEMI).<br />
'''PRECAUTIONS'''<br />
* Have ventilatory support readily available<br />
* There is no known antidote or reversal agent for Ketamine<br />
* Emergence Reaction - Read "Special Note" at [https://www.rxlist.com/ketamine-hydrochloride-drug.htm RxList - Ketamine] <br />
** If this occurs give Benzodiazepine.<br />
*** [[Valium|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP or IM to desired effect.<br />
*** [[Versed|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect.<br />
<br />
<br />
'''DOSAGE'''<br />
* Titrate to effect, starting dose of 0.5 mg/kg slow IVP or 1 mg/kg IM. <br />
<br />
'''Onset of action:'''<br />
* IM administration: 3 – 5 minutes<br />
* IV administration: 1- 2 minutes<br />
'''Duration of action:''' <br />
* 20 – 40 minutes when dosed at 4mg/kg IM.<br />
* 12 – 20 minutes when dosed at 2mg/kg IV.<br />
'''Side Effects: '''<br />
* Hypertension, emesis, laryngospasm, tachycardia, bronchodilation, increased salivation, emergence reaction (12%).<br />
<br />
<br />
[[Category:Medication Guidelines|Ketamine]]</div>
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