Midazolam - Versed

 

INDICATIONS:

  • Major Motor Seizures
  • Status epilepticus
  • Pre-Medication prior to cardioversion or Transcutaneous Pacing
  • Skeletal muscle relaxant
  • Acute Anxiety States
  • Medication for combative patients and difficult intubations

 

ADMINISTRATION:

  • Slow IV, IM, IO

 

DOSAGE:

 

ADULT:

  • Seizures
    • 5 mg IM or 2.5 mg IV
  • Chemical Restraints
    • 5 mg IV

 

PEDIATRIC:

  • Seizures:
    • 0.1 mg/kg IM, maximum 5 mg

 

THERAPEUTIC EFFECTS:

  • Short-acting benzodiazepine CNS depressant
  • Short-term sedation
  • Postoperative amnesia

 

RELATIVE CONTRAINDICATIONS:

 

  • Hypersensitivity to versed
  • Glaucoma
  • Shock
  • ETOH
  • Coma
  • Pregnancy
  • Renal Failure

 

SIDE EFFECTS:

  • Apnea
  • Cardiac arrhythmias
  • Hypotension

 

SPECIAL NOTES / RESTRICTIONS:

  • Impairs memory in 90% of patients.
  • Flumazenil will reverse sedative effects.

 

RSI MAY BE initiated by Standing Order or Protocol.

It is RECOMMENDED – where feasible – that On-Line Medical Control be obtained prior to initiation – but this should not supercede the appropriate care of the patient

  • 100% QI / PI is required for ALL RSI runs.