2015 Trumbull Memorial Hospital Demo

Midazolam (Versed) Midazolam (Versed ® )

Action

Onset

Sedative, Amnesic Short acting benzodiazepine

2-5 minutes

Indications Seizure Agitation / Combativeness

Adult Dose Seizure: 10 mg IM only, consider 5 mg if frail elderly or chronic illness Agitation / Combativeness: 4 mg IM only

Pediatric Dose 5 mg IM if > 40 kg (88 lbs) 2.5 mg IM if 13-40 kg (28.6-88 lbs) 0.1 mg/kg IM if < 13kg (28.6 lbs), Maximum 2.5 mg

Contraindications Hypersensitivity, glaucoma, acute alcoholic intoxication with depressed vital signs

Adverse Reactions Fluctuations in vital signs were most frequently seen. Decreased tidal volume and/or respiratory rate, apnea, variations in blood pressure

Precautions Doses should be decreased in frail elderly and debilitated patients.

Considerations Consider reducing the dose on frail elderly and debilitated patients. These patients may take longer to recover from the drug. Always have airway equipment available when using.

211

EMR

EMT

AEMT

Paramedic

Extended