Versed

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Section 8 - MEDICATION GUIDELINES

SEDATIVE / HYPNOTICS / ANTIPSYCHOTIC

Midazolam (VERSED) / Sedative / Hypnotic

DESCRIPTION

  • It is a skeletal muscle relaxant that reduces tremors, induces amnesia, and reduces the incidence and recurrence of seizures.
  • Depresses sub-cortical levels in CNS.

INDICATIONS

CONTRAINDICATIONS

  • Pregnancy (relative contraindication), hypersensitivity to benzodiazepines, coma, acute narrow angle glaucoma, shock, alcohol intoxication.

PRECAUTIONS

  • Hypotension, COPD, CHF, chronic renal failure, chills, elderly, debilitated.

DOSAGE

  • INTUBATION: Initial dose, 2-5 mg IVP then 2-4 mg every 30 seconds to 1 minute.
  • SEDATION, PACING, CARDIOVERSION: Initial dose 2-5 mg IVP then 2 mg every 30 second to 1 minute IVP. Max dose= 15 mg in the intubated patient. Can be given IM.07-.mg/kg with onset in approximately 15 minutes
  • An IM injection requires immediate IV access upon sedation.
  • HYPOTENSION responds well to Trendelenburg.
  • Pediatrics refer to Handtevy System.