Ketamine that's injected during arrests draws new scrutiny

Re:Ketamine that's injected during arrests draws new scrutiny by wittyreference on Sunday August 23, 2020 @09:49AM (#24251932)

I’m pretty sure the lit goes up to 8 mg/kg for IM. In the case of a 100lb pt, that’s what, 50kg? So they give the pt 6 mg per kg. It’s not out of the range of sanity, all else equal.

Key point though: you wouldn’t give the pt 8 mg/kg in a fucking bolus. Time to onset for sedative effect is fast (10min or so); time to peripheral adverse effects can easily take an hour. You’d start way lower than 8, and work your way up if you needed to.

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Re:Ketamine that's injected during arrests draws new scrutiny by rscho on Sunday August 23, 2020 @09:55AM (#24251973)

> So they give the pt 6 mg per kg. It’s not out of the range of sanity, all else equal.

Well yeah, but as I understand it the goal is not to intubate in this case, right? So in my opinion, 6 is already way too much.

In fact, I don't think we can agree on a safe standard dose in this case. Which suggests that it's not the right choice of drug for that use case...

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