Midazolam

Question 1

Midaz - mode of action

Answer 1

Short acting CNS depressant - also anticonvulsant

Question 2

Midaz - indications

Answer 2

1. GCSE
2. Sedation to maintain and facilitate intubation
3. Sedation for synchronised cardioversion
4. Sedation for transthoracic pacing
5. Sedation for agitated patient
6. Sedation for psychostimulant OD
7. Alcohol withdrawal syndrome

Question 3

Midaz - contraindications

Answer 3

1. Known hypersensitivity to benzodiazepines

Question 4

Midaz - precautions

Answer 4

1. Reduces doses for elderly/frail, CCF, shock, or chronic renal failure
2. Midaz is enhanced in the presence of narcotics and tranquillisers including alcohol
3. Respiratory depression in COPD
4. Myasthenia Gravis

Question 5

Midaz - side effects

Answer 5

1. Depressed level of consciousness
2. Respiratory depression
3. Loss of airway control
4. Hypotension