Virtual Drug Bag
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MIDAZOLAM |
PACKAGED: 10 mg in 2 ml vial, (5 mg/ml) (2 in drug bag)
LOCATION: Intermediate Compartment, Controlled Drug Pouch
INDICATIONS:
Conscious patient requiring cardioversion
Conscious patient requiring pacing
For seizure IN
After intubation, if patient is resisting and SBP is normal for age.
As chemical restraint for combative patient
Crush syndrome
ADULT:
Cardioversion, Pacing: 2 mg slow IV
Seizures: 10 mg IN (5 mg in each nostril) or 2 mg slow IV or 4 mg IM
If seizure persists: Repeat 5 mg IN or 2 mg slow IV or 4 mg IM.
Chemical restraint: 2 mg slow IV or 10 mg IN or 4 mg IM
PEDI:
Sedation: 0.1 mg/kg (max dose 2 mg) slow IV
Seizures: 0.2 mg/kg IN (max dose 4 mg) or 0.1 mg/kg slow IV (max dose 2 mg) or 0.2 mg/kg IM (max dose 4 mg)
If still seizing: Repeat one-half of initial Midazolam doses except NO IM ROUTE REPEAT
Chemical restraint: Call MCP for repeat doses. 0.2 mg/kg IN (half dose each nostril, max dose 4 mg) or 0.1 mg/kg slow IV (max dose 2 mg), or 0.2 mg/kg IM (max dose 4 mg)
THERAPEUTIC ACTION:
Provides sedation
CONTRAINDICATIONS:
PRECAUTIONS AND SIDE EFFECTS:
Be prepared to monitor respirations and intubate and ventilate if necessary.
Use with caution with lactating mothers.
Geriatric & debilitated patients require lower doses & are more prone to side effects.
Provide continuous monitoring of respiratory & cardiac function.
Can cause respiratory depression.
REQUIRES MCP:
ADULT: No
PEDI: No for seizures, Yes for chemical restraint