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27 Cards in this Set
- Front
- Back
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Versed (_____)
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Midazolam
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Versed Class
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Benzodiazepine
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Versed Actions
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- CNS depressant
- Produces retrograde amnesia, then sedation - Stops and prevents seizures |
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Versed Onset
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IV 2-5 min, IM 15 min
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Versed Duration
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1-4 hours
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Versed Indication #1
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Seizures:
- Generalized seizures lasting > or equal to 5 minutes - Focal seizures with respiratory compromise - Recurrent seizures without lucid interval - Eclamptic seizures of any duration |
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Versed Dosage/Route Indication #1
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ADULT:
- 0.1 mg/kg IVP (1 mg/min) to max 5 mg; MR x 1 in 10" If no IV: - 0.2 mg/kg IM to max 10 mg; MR x 1 in 10" PEDS: PDC IV/IM |
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Versed Indication #2
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Precadioversion
- Counscious VT - Adult Only |
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Versed Dosage/Route Indication #2
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1-5 mg slow IVP (1 mg/min)
If age > or equal to 60 consider lower dose with attention to age and hydration status |
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Versed Indication #3
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Precardioversion
- SVT - Adult & Peds |
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Versed Dosage/Route for Indication #3
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ADULT
- 1-5 mg slow IVP (1 mg/min) BHO If age > or equal to 60 consider lower dose with attention to age and hydration status PEDS: - PDC slow IVP (1 mg/min) BHPO |
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Versed Indication #4
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Precardioversion - If rhythm refractory to treatment or symptoms are severe:
- A/Fib, A/Flutter - Adult only Pacemaker with capture after Morphone |
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Versed Dosage/Route for Indication #4
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ADULT:
- 1-5 mg slow IVP (1 mg/min) BHPO If age > or equal to 60 consider lower dose with attention to age and hydration status |
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Versed Indication #5
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Severe agitation
- Stimulant overdose - Behavioral disorders |
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Versed Dosage/Route for Indication #5
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ADULT:
- 0.2 mg/kg IM, max 10 mg - 0.1 mg/kg IV, max 5 mg - MR BHO |
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Versed Contraindications
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None
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Versed Side Effects
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- Respiratory depression /apnea
- Drowsiness / confusion - Hypotension |
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Versed Concentration
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5 mg / 1 ml OR 10 mg / 2 ml
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Versed Special Information #1
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Versed should be administered slowly at a rate of 1 mg/min when given IVP.
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Versed Special Information #2
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"Pinching off" proximal IV tubing during administration is not recommended for small volumes of concentrated meds as med will accumulate in distal IV tubing and rapidly infuse after restoring flow. Administering medication bolus while IV runs at TKO is the recommended technique.
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Versed Special Information #3
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For seizure treatment, discontinue administration if seizure stops.
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Versed Special Information #4
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Some patients may respond to as little as 1.0 mg.
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Versed Special Information #5
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Carefully monitor adequacy of respiratory status and O2 saturation during administration.
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Versed Special Information #6
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Side effects of Versed, i.e. respiratory depression, may be potentiated when combined with the use of ETOH, other sedative hypnotics and other CNS depressants.
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Versed Special Information #7
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When used for cardioversion: amnesia is desired effect, not sedation, therefore the dosage administered will NOT necessarily produce lethargy.
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Versed Special Information #8
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Versed is treated as a controlled substance and is to be secured / signed for when used.
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Versed Special Information #9
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In the extremely agitated patient, IM route is safer and preferred. Injection may be given through clothing into the thigh for crew safety issues.
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