r/emergencymedicine 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/YayAdamYay RN Jun 20 '25

If it’s a teenage boy, I try to (respectfully) talk mom out of being in the room until most of the sedation wears off. No mom should have to hear the unfiltered thoughts of a teenage boy in a k-hole.