IM Midazolam Flashcards
Preparation
15mg/ 3ml ampoule
Indications
Prolonged seizures
Agitated delirium that poses mild to moderate risk to safety and droperidol is either unavailable or ineffective.
Contraindications
Severe allergy
Cautions
“Cate Eats Eggs”
Cocurrent administration with opiates, ketamine or other sedatives
Intoxicated
Elderly/frail
Action
Benzodiazepine that enhances the activity of GABA at its receptors within the CNS resulting in anxiolysis, sedation, amnesia, muscle relaxation and anticonvulsant activity.
Route
IM prefer site is lateral thigh
Dose
For pt 40kg or more
Prolonged seizures: 10mg/ 2ml, repeat after 10 mins
Agitated delirium: 10mg/2ml, repeat after 20mins
Caution present: 5mg/1ml
Side effects
“Ryan Ate Something Hot”
Respiratory depression
Amnesia
Sedation
Hypotension