Questions

Question 1

A father of a 10-year-old girl with a diagnosis of epilepsy visits your pharmacy to collect
a prescription for buccal midazolam. He would like some advice on how to administer
the medicine.
Which one of the following is most likely to be included in your advice?
Select one:
Shake the syringe before administration
Starting a ketogenic diet may help prevent seizures
Store in the fridge to help keep the medication stable
The dose can be re-administered if the patient vomits
Wait five minutes before administering as the seizure may stop on its own

Answer 1

Answer: Wait five minutes before administering as the seizure may stop on its
own
A - Does not need to be shaken
B - May have some evidence supporting this but this is a very burdensome diet,
especially for a child
C - Does not need to be stored in the fridge
D - The medicine is administered buccally so this would mean that an extra dose has
been given. If the patient vomits while having a seizure you would recommend calling
an ambulance
E - Correct option