48325-1981 PHONE/FAX 248-669-2002 [Submitted on: 11/2/2010 by: Cheryl Dworman, BSN, RN, CDCS [cbdinc2001@yahoo.com]]
119. Ketamine IV versus oral use. Our inpatient palliative care service treats with Ketamine IV and orally on the inpatient unit. We also manage our hospice patients in the community on oral Ketamine as needed. Kathleen Fink [Submitted on: 11/2/2010 by: Kathleen A. Fink [KFink@smdc.org]]
119. Ketamine IV versus oral use. We are drafting a Ketamine policy so I have the following questions for the group: -when you say palliative care pts...are they 'actively dying' &/or DNR? Or are they early in their treatment?(I ask because sometimes our patients are 'dismissed' by saying 'oh their pall care'...like they don't care if they suffer Side effects or have adverse outcomes). -do you use telemetry for the initiation of the IV dosing? -who is allowed to prescribe? -does your Board of Nursing limit nursing administration? -are they palliative care pts ONLY in your unit or do you administer in scatter beds? -what sedation scale do you use? Thanks Cheryl Vahl ARNP University of Iowa cheryl-vahl@uiowa.edu [Submitted on: 11/2/2010 by: Cheryl Vahl ARNP [cheryl-vahl@uiowa.edu]]
119. Ketamine IV versus oral use. Oral Ketamine is used; IV restricted to anesthesia only. I think that will change soon. Kathleen Fahey [Submitted on: 11/2/2010 by: Kathleen Fahey [kathleen_fahey@sbcglobal.net]]
Question 120. Levsin® versus atropine. Has anyone used Levsin® gtts for respiratory secretions and do they work better or same as atropine. I have noticed that the Levsin® sl tab works better than atropine gtts and just found out that there was gtts available for Levsin®. We are thinking of switching. Thanks! Marcia Leonard RN BSN OCN CHPN® Health Connect at Home P O BOX 1990 Kearney, NE 68848 308-440-0255 308-865-7085 marcialeonard@catholichealth.net [Submitted on: 10/13/2010 by: Marcia Leonard RN BSN OCN CHPN® [MarciaLeonard@catholichealth.net]] Answers