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Midazolam HCL
(a) Name
(b) Classification
(a) Versed
- (b) Sedative
- Hypnotic
- Anticonvulsant
-
Midazolam HCL
Action
- Depresses the CNS
- Relaxes skeletal muscle
- Decreases patient recall (amnesic effect) Suppress seizure activity
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Midazolam HCL
(a) Indications
(b) Contraindications
- (a) Seizures (status epilepticus)
- Sedation prior to:
- -Synchronized Cardioversion
- -Transcutaneious pacing
- -Airway placement (RSI/NT)
- (b) Head injury
- Shock/Hypotension
- Glaucoma
- Drug/Alcohol intoxication
- Pt's known to be taking:
- -Cardiazem, Verapamil, AIDs meds
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Midazolam HCL
Adverse Effects
- Cardiovascular
- Tachycardia
- Bradycardia
- Hypotension
- PVCs
- RespiratoryLaryngospasm
- Depression
- Bronchospasm
- Arrest
- Neurological
- Blurred Vision
- Headache
- Drowsiness
-
Midazolam HCL
Administration
- 1-2mg slow IV/IO over 2-3 mins
- (Titrate to suppress seizure activity or until sedation occurs)
- May rpt. in 1mg increments to max of 8mg
-
Midazolam
Pediatric
- Under 12 yrs:
- 0.05mg/kg slow IV/IO over 2-3 mins
- (Titrate to suppress seizure activity or
- until sedation occurs)
- Rpt in 0.05mg increments to max
- dose of 0.2mg/kg
- Over 12 years:
- Adult dosage
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Midazolam HCL
(a) Onset
(b) Duration
-
Midazolam HCL
Precautions
- Use cautiously in patients with impaired
- respiratory function, COPD, renal failure, or
- liver disease.
- Monitor pt. respiratory status and be prepared
- to provide support
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