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14 Cards in this Set
- Front
- Back
Versed
Class |
Benzodiazepine
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Versed
Action |
CNS Depressant
Produces retrograde amnesia, then sedation Stops and prevents seizures |
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Versed
Onset/Duration |
Onset= IV 2-5 min, IM 15 min
Duration= 1-4 hours |
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Versed
Indications 1 |
Seizures
-generalized lasting >5 min -focal seizures w/ resp compromise -reccurent seizures without lucid interval -eclamptic seizure of any duration |
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Versed
Indications 2 |
Pre-cardioversion
-Concious VT; adult only -SVT Adult and peds Precardioversion if rhythm refractory to Rx or symptoms are severe -A/Fib A/Flutter- adult only Pacemaker with capture after Morphine |
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Versed
Indications 3 |
Severe Agitation
Stimulant intoxication Behavioral disorders |
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Versed
Dosage/Route Seizures -generalized lasting >5 min -focal seizures w/ resp compromise -reccurent seizures without lucid interval -eclamptic seizure of any duration |
ADULT:
0.1mg/kg IVP (1mg/min) to max 5mg MR x1 in 10" ---IF NO IV--- 0.2mg/kg IM to max 10mg MR x1 in 10" PEDS: PDC IV/IM |
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Versed
Dosage/Route Precardioversion: Conscious VT- ADULT ONLY |
1-5 mg slow IVP (1mg/min)
-if age >60 consider lower dose with attention to age and hydration status |
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Versed
Dosage/Route SVT ADULT and PEDS |
ADULT:
1-5mg slow IVP (1mg/min) BHO if age >60 consider low dose with attention to age and hydration status PEDS: PDC SLOW IVP 1mg/min BHPO |
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Versed
Dosage/Route Pre-cardioversion -Concious VT; adult only -SVT Adult and peds Precardioversion if rhythm refractory to Rx or symptoms are severe -A/Fib A/Flutter- adult only Pacemaker with capture after Morphine |
ADULT:
1-5mg slow IVP (1mg/min) BHPO -if age >60 consider lower dose with attention to age and hydration status |
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Versed
Dosage/Route Severe Agitation -Stimulant OD -Behavioral disorders |
ADULT:
0.2mg/kg IM, max 10mg 0.1mg/kg IV, max 5mg MR BHO |
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Versed
Contraindications |
NONE
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Versed
Side Effects |
Respiratory depression/ apnea
Drowsiness/ confusion Hypotension |
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Versed
Special Info "MIDAZOLAM" Conc: 5mg/1ml or 10mg/2ml |
M: may respond to as little as 1.0 mg
I: In the extremely agitated patient, IM route is safer and preferred. Injection may be given through clothing into the thigh for crew safety issues. D: Do not “Pinch off” proximal IV tubing during administration of small volumes of concentrated meds as medication will accumulate in distal IV tubing and rapidly infuse after restoring flow. Administering medication bolus while IV runs at TKO is the recommended technique. A: administered slowly at a rate of 1mg/min when given IVP S: seizure treatment, discontinue administration if seizure stops O: 02 saturation and respiratory status needs to be carefully monitored during administration. L: Lethargy is necessarily not produced when administered, amnesia is the desired effect, not sedation when using it for Cardioversion. A: A controlled substance, and is to be secured/signed for when used. M: may have worsened side effects such as respiratory depression when combined with the use of ETOH, other sedative hypnotics and other CNS depressants. |