MIDAZOLAM (VERSED)

Question 1

CLASS

Answer 1

SHORT-ACTING BENZODIAZEPINE

Question 2

DESCRIPTION

Answer 2

WATER SOLUBLE BENZO. THAT MAY BE ADMINISTERED FOR CONSCIOUS SEDATION TO RELIEVE APPREHENSION OR IMPAIR MEMORY

Question 3

ONSET & DURATION

Answer 3

ONSET: IV: 1-3 MINUTES; DOSE DEPENDENT
DURATION: 2-6 HOURS; DOSE DEPENDENT

Question 4

INDICATIONS

Answer 4

-PREMEDICATIONS FOR TRACHEAL INTUBATION, CARDIOVERSION OR OTHER PAINFUL PROCEDURES
-SEIZURES IN CHILDREN WHEN OTHER BENZODIAZEPINES ARE NOT EFFECTIVE

Question 5

CONTRADICTIONS

Answer 5

HYPERSENSITIVITY, GLAUCOMA, SHOCK, ALCOHOL INTOXICATION, DEPRESSED VITAL SIGNS,

Question 6

ADVERSE REACTIONS

Answer 6

RESPIRATORY DEPRESSION, HICCUPS, COUGH, OVERSEDATION, PAIN AT THE EJECTION SITE, NAUSEA AND VOMITING, HEADACHE, BLURRED VISION, HYPOTENSION, RESPIRATORY ARREST

Question 7

MIDAZOLAM INTERACTIONS

Answer 7

MIDAZOLAM SHOULD NOT BE GIVEN TO PT WHO HAVE TAKEN CNS DEPRESSANTS UNLESS FOR PROCEDURAL SEDATION OR SIMILAR PURPOSE IN A CONTROLLED SETTING.

Question 8

HOW MIDAZOLAM IS SUPPLIED

Answer 8

2-, 5-,10- ML VIALS (1MG/ML)
1-, 2-, 5-, 10 ML VIALS (5MG/ ML)

Question 9

DOSAGE AND ADMINISTRAION

Answer 9

0.1 MG/KG IV UP TO 10 MG. CONSIDER STARTING AT 1-2.5 MG BY SLOW IV PUSH IN ADULTS.
EXCITED DELIRIUM- 5MG IV/IM/IN
END-OF-LIFE CARE- 2-5 MG IV

Question 10

SPECIAL CONSIDERATIONS

Answer 10

PREGNANCY SAFTEY- CATEGORY D
MIDAZOLAM HAS BEEN ASSOCIATED WITH RESPIRATORY ARREST WHEN USED FOR SEDATION. CONTINUOUS MONITORING AND PREPAREDNESS IS REQUIRED