Ketamine

DesertMedic66

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Tell your service you either need 100mg bags or need a different option for medication admin such as IVP.

My flight service gives it IVP and my ground service gives it IVPB in a 50mL bag.
 

akflightmedic

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Is this a scenario? A complaint? A request for knowledge? A comparison study?
 

VFlutter

Flight Nurse
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What is your dosing protocol and indications? Assuming this is low dose for pain management.

Tell who ever orders your supplies that you need 100ml bags. If not getting anywhere tell your supervisor or medical director you don't have the required equipment you need.
 

Tigger

Dodges Pucks
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Protocol has can give ketamine in a drip 100mg in 100cc bag of normal saline. My service only carries 1000cc bags.
What are you giving 100mg of Ketamine for? Over what time?
 

DesertMedic66

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Pain control. In place of fentanyl or morphine
Just a straight 100mg to all patients? Usually ketamine for pain management is very low dose, like in the 0.1-0.3mg/kg range. 100mg is getting more into the dissociated stage.
 

Tigger

Dodges Pucks
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That seems like a very large single dose for analgesia. Let me ask again, over how long is this to be given?
 

akflightmedic

Forum Deputy Chief
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Copy and paste that protocol....I just wanna see how that guideline is worded.
 

silver

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Just a straight 100mg to all patients? Usually ketamine for pain management is very low dose, like in the 0.1-0.3mg/kg range. 100mg is getting more into the dissociated stage.
100mg/100ml is one of the standard dilutions for analgesic infusions though.
 

GMCmedic

Forum Deputy Chief
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This is an unnecessarily difficult and innacurate way to administer ketamine for pain absent pumps.
 

PotatoMedic

Has no idea what I'm doing.
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Call me lazy but I like my 0.25 mg/kg ivp ketamine dose. Much simpler than a pump setup
 

NomadicMedic

EMS Edumacator
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We’re doing extremely low doses of Ketamine in a100ml bag. Like 0.2mg/kg. So a big 250 pound guy only gets like 35mg.

100mg seems like a lot for pain management.
 

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