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EMR
EMT
AEMT
Paramedic
Extended
Ketamine Dilution for IV Pain Management
Steps
Performed?
Yes No
1.
Use body substance precautions and use aseptic technique. Explain the procedure and
any potential side effects to the patient or family where appropriate.
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2.
Unpack a 10mL Normal Saline flush and waste 1mL, leaving 9mL in the syringe.
Attach a hypodermic needle to the saline syringe.
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3.
Unpack your Ketamine 500mg per 10mL vial that is NOT shrink wrapped and draw
1mL of the Ketamine into the saline flush syringe via the rubber plunger.
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4.
Shake the new diluted saline/Ketamine syringe briefly to mix.
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5.
Place an orange sticker on the syringe and label “Ketamine 5mg/mL”
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6.
To administer, start an IV/IO line of normal saline and connect the syringe to the
appropriate IV tubing connector using aseptic technique.
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7.
Administer up to a maximum of 2mL for adults, preferably IV but you can administer
IM in the absence of an IV. The 2mL equates to 10mg of Ketamine.
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8.
Monitor the heart rate, blood pressure, airway, and respirations closely.
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9.
Document the procedure, times, dosages, and any patient response in the Patient Care
Report (PCR).
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Ketamine Dilution for IV Pain Management