Ketamine-- how to prepare patients?

[u/rainbowsforeverrr]

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?

[u/thesubmissivesiren]

I had an EMT tell me “well we can’t get a line and we’ve already tried intranasal fent and IM morphine.. do you want to just exist in another realm for a bit?” I said sure and that is exactly what happened 😂