Midazolam - Versed Flashcards
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Questions and Answers

What is the brand name for Midazolam?

  • Xanax
  • Ativan
  • Dilaudid
  • Versed (correct)
  • What classification does Midazolam fall under?

    Amnesic Agent, Sedative/Hypnotic, Anticonvulsant, Benzodiazepine, Anti-anxiety

    The MOA of Versed involves binding to __________.

    Benzodiazepine receptors

    Which of the following are indications for Versed?

    <p>Seizures</p> Signup and view all the answers

    What is NOT a contraindication for Versed?

    <p>Premedication for surgery</p> Signup and view all the answers

    Name two common side effects of Versed.

    <p>Bradycardia, Amnesia</p> Signup and view all the answers

    Which patients require precautions when using Versed?

    <p>Elderly patients with impaired respiratory function</p> Signup and view all the answers

    What should be avoided when administering Versed?

    <p>Other CNS depressants</p> Signup and view all the answers

    What are the routes of administration for Versed?

    <p>IVP, IO, IM, IN</p> Signup and view all the answers

    What is the onset time for Versed when administered IVP?

    <p>1-5 minutes</p> Signup and view all the answers

    What is the initial dosage of Versed for adult pre-cardioversion?

    <p>1.0 - 2.5 mg</p> Signup and view all the answers

    Study Notes

    Midazolam Overview

    • Brand Name: Versed
    • Classification:
      • Amnesic Agent
      • Sedative/Hypnotic
      • Anticonvulsant
      • Benzodiazepine
      • Anti-anxiety

    Mechanism of Action

    • Binds to benzodiazepine receptors
    • Enhances GABA, leading to:
      • Decreased agitation
      • Muscle relaxation
      • Induction of sleep at high doses

    Indications

    • Treatment of seizures
    • Premedication for synchronized cardioversion/transcutaneous pacing (TCP)
    • One of the options for Rapid Sequence Intubation (RSI) premedication
    • Management of anxiety disorders

    Contraindications

    • Not to be used in acute narrow-angle glaucoma
    • Should be avoided in shock due to hypovolemia
    • Contraindicated in cases of alcohol or drug intoxication

    Side Effects

    • Cardiovascular:
      • Bradycardia
      • Hypotension
      • Rebound tachycardia
    • Neurological:
      • Amnesia
      • Drowsiness
      • Agitation
      • Altered Level of Consciousness (ALOC)
    • Respiratory:
      • Potential respiratory depression or arrest
    • Gastrointestinal:
      • Nausea and vomiting (N/V)

    Precautions

    • Caution in elderly patients with impaired respiratory function
    • Use carefully in patients with:
      • Renal failure
      • Liver failure
      • Chronic Obstructive Pulmonary Disease (COPD)

    Drug Interactions

    • Enhanced effects when combined with other CNS depressants or benzodiazepines

    Routes of Administration

    • Administered via:
      • IV Push (IVP)
      • Intraosseous (IO)
      • Intramuscular (IM)
      • Intranasal (IN)

    Onset and Duration

    • Rapid onset:
      • 1-5 minutes via IVP/IO/IN
      • 5-15 minutes via IM
    • Duration of effect is approximately 2-6 hours

    Dosages

    • Adult:

      • Pre-cardioversion or TCP: 1.0 - 2.5 mg slow IVP/IO/IN
      • For seizures: 0.1 mg/kg slow IVP/IO/IN or 0.2 mg/kg IM, max 5 mg
    • Pediatric:

      • For seizures: 0.1 mg/kg slow IVP/IO/IN or 0.2 mg/kg IM, max 5 mg

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    Description

    Test your knowledge on Midazolam, also known as Versed, through these flashcards. Learn about its classification, mechanism of action, and indications in a fun and interactive way. Perfect for students and professionals in the medical field!

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