Ketamine:
Intravenous antiseizure agent
ECMO Dose Adjustment:
NONE
Renal Impairment Dose Adjustment:
NONE
CRRT Dose Adjustment:
NONE
Hepatic Impairment Dose Adjustment:
NONE
Adult Dose^:
Loading Dose: 1.5 mg/kg IV. May repeat every 3–5 minutes to a maximum of 4.5 mg/kg total for refractory status epilepticus.
Maintenance Infusion (Initial): 1 mg/kg/hr titrated to seizure control
Pediatric Dose^:
Loading Dose: 1–2 mg/kg/dose IV x 1
Maintenance Infusion (Initial): 1 mg/kg/hr, titrated to seizure control. Usual maximum dose is 7 mg/kg/hr.
Neonatal Dose^:
Loading Dose: 1–2 mg/kg/dose IV x 1
Maintenance Infusion (Initial): 1 mg/kg/hr, titrated to seizure control. Usual maximum dose is 7 mg/kg/hr.
^Dose will depend on response and/or tolerability.