Indications:
- Excited delirium – ADULTS ONLY
- Premedication for intubation in the conscious patient (PAI)
Contraindications:
- Stroke
- Elevated intracranial pressure (ICP)
- Severe hypertension
- Severe cardiac disease
- Upper respiratory infection/excessive secretions (especially pediatric)
- Hypersensitivity to ketamine
Precautions: Keep patient in a quiet environment
Side Effects:
- Hypertension
- Tachycardia
- Emergence reactions: hallucinations, unpleasant/vivid dreams
- Increased respiratory secretions
- Vomiting
- Laryngospasm (pediatric patients with upper respiratory infection and/or excessive secretions)
- Rarely: hypotension, bradycardia and respiratory depression
- Theoretical: increased intracranial pressure
Adult Dose: 1 – 2 mg/kg IVP/IO (over one minute) or 4 – 5 mg/kg IM
Pediatric Dose:
BIOTEL AUTHORIZATION REQUIRED
Sedation prior to pharmacologically-assisted intubation (PAI):
2 mg/kg IVP/IO (over one minute) or 3 – 5 mg/kg IM
Route: Slow IVP/IO or IM
Drug Action: Blocks pain perception and causes short term amnesia without muscle relaxation
Class: Non-barbiturate dissociative anesthetic
Onset: Within 30 seconds (IV/IO); 1-2 minutes (IM)
Duration: 5-10 minutes (IV/IO); 10-20 minutes (IM)