Midazolam (Versed)

Question 1

Pharm and Actions

Answer 1

Sedative/hypnotic benzodiazepine; Generalized CNS depression; Therapeutic effects include short term sedation and postoperative amnesia

Question 2

Indications

Answer 2

Sedation and amnesia during RSI; sedation for cardioversion or pacing

Question 3

Contraindications

Answer 3

Hypersensitivity or cross sensitivity with other benzodiazepines may exist; acute narrow angle glaucoma; shock; comatose patients or those with pre-existing CNS depression; severe uncontrolled pain; pregnancy or lactation

Question 4

Administration

Answer 4

Sedation and RSI 0.1 mg/kg IV up to 5 mg, max dose 10 mg

Question 5

Side Effects and Special Notes

Answer 5

Respiratory depression; HA, excess sedation, drowsiness, agitation; Blurred vision; Cardiac Arrhythmias; N/V, rashes; Increased risk of hypotension with antihypertensives, acute ingestion of narcotics or nitrates

Question 6

Class

Answer 6

A