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14 Cards in this Set

  • Front
  • Back
Versed
Class
Benzodiazepine
Versed
Action
CNS Depressant
Produces retrograde amnesia, then sedation
Stops and prevents seizures
Versed
Onset/Duration
Onset= IV 2-5 min, IM 15 min
Duration= 1-4 hours
Versed
Indications 1
Seizures
-generalized lasting >5 min
-focal seizures w/ resp compromise
-reccurent seizures without lucid interval
-eclamptic seizure of any duration
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
Versed
Indications 3
Severe Agitation
Stimulant intoxication
Behavioral disorders
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
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
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
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
Versed
Dosage/Route
Severe Agitation
-Stimulant OD
-Behavioral disorders
ADULT:
0.2mg/kg IM, max 10mg
0.1mg/kg IV, max 5mg
MR BHO
Versed
Contraindications
NONE
Versed
Side Effects
Respiratory depression/ apnea
Drowsiness/ confusion
Hypotension
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.