I have my Khem outfitted with mostly just gear I've recieved as quest rewards, with some orange stuff obtained doing a flashpoint mission. I have noticed he's gone down a little more quickly then I would have suspected in some fights, but that's mostly because he's not as maxed out as he could be.
I've found that using Ashara is more effective in fights at my current level(38) then Khem would be(I also use Andronikos a lot as well) as her fighting style and abilities are a better fit to my own combat tactics playing as an assassin.