Danielle Margetak (Burton)
Danielle Margetak (Burton)

@DanielleTBurton

7 Tweets 1 reads May 11, 2021
Raise your hand if your comfortable using ketamine...πŸ™‹πŸΌβ€β™€οΈπŸ€·πŸΎβ€β™‚οΈπŸ€·πŸ»β€β™€οΈπŸ™…πŸ½β€β™‚οΈπŸ™‹πŸΎβ€β™‚οΈπŸ™…πŸ»β€β™‚οΈ
Okay okay don’t worry - hopefully this can simplify things for you!
Let’s chat about good ol’ #SpecialK...
#TwitteRx #MedTwitter #EMtwitter
Ketamine dosing depends on
☝🏼indication & ✌🏼access
Analgesic sweet spot is actually quite low ~0.1mg/kg
Dissociation for agitation & procedures, higher doses =/>1mg/kg is the target
πŸ”‘Only IM access? ⬆️ to 2-4mg/kg
But...see in the middle there btwn 0.1-1mg/kg? That’s #TheKHole
In this intermediate range is where you can find recreational drug use & emergence reactions. W/o enough dissociation, reality distortion can cause paranoia and fear in the under-sedated patient... this is what we want to avoid or make comfortable using coaching +/- meds
But ketamine is a great drug! Some myths debunked over the years:
πŸ”‘ ketamine 🚫 in TBI/increased ICP or IOP.... #FALSE. See the PMIDs.
πŸ”‘PMH of psychosis? ➑️ You can still use #ketamine! ☝🏼prep for a benzo rescue if your patient has an emergence reaction bc their at ⬆️risk
Alright NOW raise your hand if you β™₯️ ketamine: πŸ™‹πŸΌβ€β™€οΈπŸ™‹πŸΎβ€β™‚οΈπŸ™‹πŸ»β€β™€οΈπŸ™‹πŸ½β€β™‚οΈπŸ™‹πŸΎβ€β™‚οΈπŸ™‹πŸ»β€β™‚οΈ
#TwitteRx #EMPharm #whiteboardteaching #BostonCityEM @BMCPharmRes @BostonCityEM
There was a transcription error on my original board in the dissociation dosing - something that can happen to anyone but one of my biggest fears when I started posting these publicly! I did correct it & wanted to share the update here for anyone that has shared or saved this.
There was a transcription error on my original board in the dissociation dosing - something that can happen to anyone but one of my biggest fears when I started posting these publicly! I did correct it & wanted to share the update here for anyone that has shared or saved this.

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