💉 Ketamine Dissociative Side Effect Monitoring Simulator

Establishing a Pre-Infusion CADSS Baseline

A short placeholder sentence on baseline dissociation scoring.

• 0–92: Scale range (Placeholder CADSS total range)
• 23: Items assessed (Placeholder item count)
• 0–2: Typical baseline (Placeholder normal score)
• ~3 min: Assessment time (Placeholder duration)

Why a baseline CADSS matters

Placeholder: baseline score anchors later comparisons during infusion.

Who administers the scale

Placeholder: clinician or nurse rates patient before drug starts.

Onset of Dissociative Symptoms During Infusion

A short placeholder sentence on early dissociation onset.

• 5–15 min: Onset window (Placeholder onset timing)
• Derealization: First symptoms (Placeholder early sign)
• ~10–25: CADSS at onset (Placeholder score range)
• Every 5 min: Check frequency (Placeholder monitoring cadence)

Early perceptual changes

Placeholder: mild unreality and detachment reported by patient.

Vital sign correlation

Placeholder: heart rate and blood pressure tracked alongside CADSS.

Peak Dissociative Symptoms Mid-Infusion

A short placeholder sentence on peak dissociation severity.

• 20–35 min: Peak timing (Placeholder peak window)
• ~40–70: Peak CADSS (Placeholder peak score)
• Depersonalization: Common symptom (Placeholder dominant symptom)
• CADSS >45: Action threshold (Placeholder alert level)

Peak symptom pattern

Placeholder: perceptual distortion and detachment reach maximum intensity.

When to intervene

Placeholder: high scores may prompt infusion rate adjustment.

Post-Infusion Recovery and Symptom Resolution

A short placeholder sentence on post-infusion decline.

• At 40 min: Recovery start (Placeholder infusion end)
• ~15–20 min: Half-resolution (Placeholder decay time)
• Near 0: CADSS by 90 min (Placeholder resolved score)
• CADSS <4: Discharge check (Placeholder discharge criterion)

Symptom decay curve

Placeholder: dissociation fades exponentially after infusion stops.

Discharge readiness

Placeholder: patient cleared once CADSS returns near baseline.

Interpreting CADSS Totals for Monitoring Decisions

A short placeholder sentence on reading CADSS thresholds.

• 0–3: None (Placeholder routine tier)
• 4–19: Mild (Placeholder watch tier)
• 20–44: Moderate (Placeholder notify tier)
• 45+: Severe (Placeholder intervene tier)

Threshold-based action tiers

Placeholder: score bands map to specific monitoring responses.

Documenting outcomes

Placeholder: record peak CADSS and actions taken per session.