r/emergencymedicine • u/rainbowsforeverrr • Jun 20 '25

Advice Ketamine-- how to prepare patients?

Hi folks, ER nurse here. I'm curious how you talk to patients about ketamine admin for procedures or for intractable pain relief. I give it fairly often but I still haven't found the right way to prepare patients (or parents of littles) for the psychotropic effects. I've never used ketamine personally, but it seems to be a very intense experience that ought to be part of the informed consent conversation. What is our ethical obligation?

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u/FraeshFeesh Pharmacist Jun 20 '25

One interesting thing about ketamine is that a patients experience can actually change depending on their feelings leading up to a procedure. If I’m in the room during a sedation I usually try to have a patient recall a good memory/experience, really anything that has the potential to prevent an emergence reaction is worth it in my book.

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u/rainbowsforeverrr Jun 20 '25

I try to do this too, to set the scene for a positive experience