Midazolam (patients own)

Question 1

What is Midazolam (MDZ)?

Answer 1

A benzodiazepine (tranquilliser) with anxiolytic, sedative and anticonvulsant properties. Often used for trouble sleeping and severe agitation.

Question 2

Indications?

Answer 2

Convulsions lasting 5 minutes or more and STILL FITTING or 3 or more convulsions in an hour. Convulsion continuing 10 minutes after first dose of medication.
Must be patients own unless they have a PGD

Question 3

Contra-indications?

Answer 3

None

Question 4

Dosage and administration?

Answer 4

For adult 10 milligrams
10 min wait
repeat 10 milligrams

Question 5

Route?

Answer 5

Buccal

Question 6

Cautions?

Answer 6

Always check dose carefully as administration can lead to respiratory depression and arrest. Susceptible patients are children and adults over 60 years.