MIDAZOLAM

Question 1

BRAND NAME

Answer 1

Versed

Question 2

DRUG CLASS

Answer 2

Benzodiazepines

Question 3

THERAPEUTIC ACTIONS

Answer 3

Acts at many levels of the CNS to produce generalized CNS depression.

Question 4

INDICATIONS

Answer 4

Provides sedation/anxiolysis/amnesia during therapeutic, diagnostic, or radiographic procedures

For short-term treatment of increased or frequent seizures called seizure clusters. Also, used before surgery or a procedure.

Question 5

CONTRAINDICATIONS

Answer 5

Patients with known hypersensitivity to the drug, chronic respiratory insufficiency, acute angle-closure glaucoma, hypotension, and shock.

Question 6

SIDE EFFECTS

Answer 6

CNS: agitation, drowsiness, excess sedation, headache.
EENT: blurred vision.
Resp: APNEA, LARYNGOSPASM, RESPIRATORY DEPRESSION, bronchospasm, coughing.
CV: CARDIAC ARREST, arrhythmias.
GI: hiccups, nausea, vomiting.

Question 7

NURSING RESPONSIBILITIES

Answer 7

Monitor signs of laryngeal spasm and bronchospasm, including tightness in the throat and chest, wheezing, cough, and severe shortness of breath. Notify physician or nursing staff immediately if these reactions occur.

Report excessive or prolonged sedation, agitation, or blurred vision; that is, CNS symptoms that persist more than 12 hr after the drug has been discontinued.