Anxiety & Sedation

Question 1

Midazolam (A&S)

Answer 1

• IV/IO/IM 1-5 mg q 5 min, max dose 10 mg.
• Infusion: 1-10 mg/hr Mix 10 mg in 100 mL NS

Question 2

Ketamine (A&S)
(Adult & Peds)

Answer 2

• IV/IO: 0.5-1 mg/kg q 10 min
• IM: 0.5-2 mg/kg. May repeat x1 @ 0.5-1 mg/kg
• IN: 0.5-3 mg/kg. May repeat x1 @ 0.5-1 mg/kg
• Post Intubation: 1-2 mg/kg q 10 min
• Excited Delirium: 0.5-2 mg/kg IM initially. Continue w/ 1-2 mg/kg IV.
• Infusion: 0.1-2 mg/kg/hr Mix 500 mg in 100 mL of NS

Question 3

Haloperidol (A&S)

Answer 3

5 mg IV/IM q 5-10 min, max 15 mg

Question 4

Peds Midazolam (A&S)

Answer 4

• IV/IO:
  0-5 yrs: 0.05-0.1 mg/kg q 10-15 min
  6-12 yrs: (<50kg) 0.025-0.05 mg/kg
  >12 yrs: Adult dosing
• IM: 0.05-0.1 mg/kg. Max 10 mg
• IN: 0.2 mg/kg single dose. May repeat in 15 min. Max 10 mg/dose.
• Post Intubation: 0.05-0.12 mg/kg/hr