Ketamine

[Missourimedic38]

Protocol has can give ketamine in a drip 100mg in 100cc bag of normal saline. My service only carries 1000cc bags.

 

[Missourimedic38]

Protocol has can give ketamine in a drip 100mg in 100cc bag of normal saline. My service only carries 1000cc bags. Anyone give this med as drip

 

[DesertMedic66]

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.

 

[Peak]

How does your service give fluids to peds? Do you stock buretrols?

 

[akflightmedic]

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

 

[Missourimedic38]

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

Knowledge

 

[VFlutter]

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]

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?

 

[Missourimedic38]

What are you giving 100mg of Ketamine for? Over what time?

Pain control. In place of fentanyl or morphine

 

[DesertMedic66]

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.

 

[Missourimedic38]

Can be given as drip 100mg ketamine mixed with 100cc Normal Saline.

 

[Seirende]

Can be given as drip 100mg ketamine mixed with 100cc Normal Saline.

Are you titrating to effect?

 

[Missourimedic38]

Are you titrating to effect?

Yes

 

[Missourimedic38]

I dont know any medic that will actually calculate drip without a pump

 

[Tigger]

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

 

[akflightmedic]

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

 

[silver]

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]

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

 

[PotatoMedic]

Call me lazy but I like my 0.25 mg/kg ivp ketamine dose. Much simpler than a pump setup

 

[NomadicMedic]

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.