Module 6: Clinical Protocols
For anesthesiologists, CRNA and RN only.
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Case Study 1
Female px, weighs 60kg; no prior psychedelic experience. The plan is for Standard “CIT” and Ketamine Treatment (no NAD). This is her first treatment.
What goes in her IV bag?
What goes in the 60cc syringe pump?
If you are drawing from a 50mg/ml Ketamine vial, into a 1cc Tuberculin syringe, to what line to you draw up the 30mg of Ketamine?
What Ketamine dose goes in the "bolus"?
If you are drawing from a 50mg/ml Ketamine vial, into a 1cc tuberculin syringe, to what line do you draw up a 5mg bolus of Ketamine?
The patient requires a subsequent bolus of Ketamine ½ of the way through the infusion after talking to their guide. How much should you dose?
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Case Study 2
Male patient, with very severe history of anxiety, that is visibly evident before treatment number #1.
How would this change your dosing plan for a standard Ketamine Treatment?
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Case Study 3
80 Kg Male patient, otherwise healthy, presents for Ketamine and NAD 1st Treatment
What goes in the IV bag?
What goes in the 60cc syringe pump?
If you are drawing from a 50mg/ml Ketamine vial, into a 1cc Tuberculin syringe, to what line to you draw up the 30mg of Ketamine?
What Ketamine dose goes in the "bolus"?
If you are drawing from a 50mg/ml Ketamine vial, into a 1cc tuberculin syringe, to what line do you draw up a 5mg bolus of Ketamine?
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Case Study 4
70 Kg Female with CRPS Chronic pain, who desires Ketamine Infusions for chronic pain. 1st Treatment.
What is the chronic pain protocol we utilize at CIT Clinics?
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Case Study 5
Pregnancy
What Pregnancy/Breastfeeding Category is Ketamine?
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Case Study 6
Ketamine & NAD+
What are the short term risks of Ketamine and NAD administration? (specifically address nausea/vomiting, hypertension, tachycardia, NAD+ symptoms)
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