Benzodiazepines/Antidotes Flashcards
Midazolam (Versed)
Discription
Short acting benzodiazepine with CNS depression, anticonvulsant, muscle relaxant, and anterograde amnestic effects
Midazolam (Versed)
Class
Sedative
Midazolam (Versed)
Contraindications
Hypersensitivity to benzodiazepine, narrow angle glaucoma, shock, coma, or acute alcohol intoxication
Midazolam (Versed)
Indications
Induce sedation before cardioversion or intubation, seizures
Midazolam (Versed)
Precautions
Elderly, COPD, CHF, renal impairment
Midazolam (Versed)
Adult dose
Adult: 2.5mg
Age>65: 1-2.5
Repeat one time to MAX 5mg
Excited delirium
Adult: 5mg
Age>65: 2.5mg
Repeat 2.5mg q 5mins MAX 10mg
Seizure
Adult: 10mg IM Max 20mg
Pedi: 0.2mg/kg Max 10mg IM or Max 2.5mg IN/IO/IV
Narcan (naloxone)
Description
Pure narcotic antagonist that blocks effect of natural/synthetic narcotics and may respiratory depression
Narcan (naloxone)
Precautions
Possible dependncy (including newborns). Half-life shorter than most narcotics
Narcan (naloxone)
Contraindications
Hypersensitivity, non narcotic induced repository depression
Narcan (naloxone)
Dose
0.4 to 2 mg IV/IM/IN repeated/2 to 3 min as needed up to 10 mg
Narcan (naloxone)
Pedi
0.01 mg IV/IM repeated/2 to 3 min as needed up to 10 mg
Narcan (naloxone)
Class
Narcotic antagonist
Narcan (naloxone)
Indications
Narcotic and synthetic narcotic overdose, coma of unknown origin
Lorazepam (Ativan)
Adult dose
Seizure: 4mg IV/IO Max 10mg
Midazolam (Versed)
Pedi dose
0.1mg/kg MAX initial dose 2.5mg
Repeat 3-5 mins MAX 5mg
Excited delirium
0.2mg/kg MAX initial dose 5mg
Repeat 0.2mg/kg q 5mins MAX 10mg
Seizure
Pedi: 0.2mg/kg Max 10mg IM or Max 2.5mg IN/IO/IV
