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10 Cards in this Set
- Front
- Back
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What are the CV effects of ketamine?
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Increased HR, BP, PAP and CO d/t stimulation of CNS
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When is ketamine inappropriate?
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Pts w/ CAD, HTN, CHF, aneurisms, d/t sympathetic stimulation; Psych patients d/t delerium;
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What are the respiratory effects of ketamine?
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Minimal impact on ventilation, but w/ opioids -> apnea; Potent bronchodilator; Increased salivation, requiring antimuscarinic (but this may increase tachycardia)
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What are the CNS effects of ketamine?
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Increased ICP, CBP, CMRO2, cerebral vasodilation
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What are the ocular effects of ketamine?
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Nystagmus, increased IOP
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What are the muscular effects of ketamine?
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Muscle rididity and athenoid (worm-like) movements of the mouth + tounge. Myoclonus (less than etomidate)
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Describe the psych effects of ketamine
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unpleasant dreams/illusions in up to 30% of cases
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Who are more likely to have dellerium w/ ketamine?
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Older people, women, personality disorder, high doses
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What is the induction dose of ketamine?
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1-2 mg/kg IV
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What is the sedation dose of ketamine?
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5-10 mg q 2 min
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