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Section 8 - MEDICATION GUIDELINES
SEDATIVE / HYPNOTICS / ANTIPSYCHOTIC
Midazolam (VERSED) / Sedative / Hypnotic
- 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.
- Sedation for post resuscitation combativeness, combative head injury, intubations, pacing and cardioversion.
- Seizures, status epilepticus.
- Pregnancy (relative contraindication), hypersensitivity to benzodiazepines, coma, acute narrow angle glaucoma, shock, alcohol intoxication.
- Hypotension, COPD, CHF, chronic renal failure, chills, elderly, debilitated.
- 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.