7 ms·

I’m pretty sure the lit goes up to 8 mg/kg for IM. In the case of a 100lb pt, that’s what, 50kg? So they give the pt 6 mg per kg. It’s not out of the range of s

I’m pretty sure the lit goes up to 8 mg/kg for IM. In the case of a 100lb pt, that’s what, 50kg? So they give the pt 6 mg per kg. It’s not out of the range of sanity, all else equal. Key point though: you wouldn’t give the pt 8 mg/kg in a fucking bolus. Time to onset for sedative effect is fast (10min or so); time to peripheral adverse effects can easily take an hour. You’d start way lower than 8, and work your way up if you needed to.

rscho 6y ago
> So they give the pt 6 mg per kg. It’s not out of the range of sanity, all else equal. Well yeah, but as I understand it the goal is not to intubate in this case, right? So in my opinion, 6 is already way too much. In fact, I don't think we can agree on a safe standard dose in this case. Which suggests that it's not the right choice of drug for that use case...