Midaz Word Scramble
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Question | Answer |
TYPE | Anticonvulsant and sedative agent |
PRESENTATION | 5 mg in 5ml ampoules 15 mg in 3ml ampoules |
ACTIONS | 1. Anticonvulsant – reduces seizure activity 2. Minor tranquilliser 3. Muscle relaxant Onset (IV) 1 – 5 mins Duration2 – 3 hours Onset (IM) 2 – 5 mins Duration? 2 – 3 hours |
USES: | 1 Status epilepticus 2 Sedation to mx AW, RSI, sedation ofa previously intubated pt 3 Adjunct to analgesia for injuries w/signif muscle spasm 4 To mx agitated & combative pts 5 To mx autonomic hyperreflexia 6 Antiemetic-esp paeds |
ADVERSE EFFECTS | Depression of level of consciousness - leading to: 1. Respiratory depression 2. Loss of airway control 3. Hypotension |
CONTRA-INDICATIONS | Known hypersensitivity |
PRECAUTIONS | 1. Haemodynamic instability 2. Respiratory depression |
Dose Seizures | Adult dose: Up to 0.1 mg/kg lV, over 2 minutes, until fitting ceases. Rpt if fitting continues or recurs. Paediatric dose Up to 0.1 mg/kg IV, over 2 min until fitting ceases Rpt if fitting continues or recurs. I.M 0.1 mg/kg Repeatx 1 after 10 min |
Dose analgesic with muscle spasm | Following 1 dose of Penthrane or 2 doses of Morphine, if severe pain & muscle spasm are still present – Up to 0.05 mg/kg IV over 2 minutes Repeat x 1 as required Further analgesic doses are to be given with caution |
Mild sedation for basic AW Mx | Up to 0.1 mg/kg over 2 minutes |
Sedation w/morph for AW Mx | Adult: 10 mg IV rapid push (adjusted for patient weight, age and BP) Paediatric: 0.1 mg/kg rapid push Repeat x 1 as required |
Dose With Sux | 0.05 mg/kg IV |
Dose for combative or agitated pt | Up to 0.1 mg/kg IV, until manageable. rpt as req, same dose IM If agitation & combativeness due to psychostimulant Up to 0.2 mg/kg IV, until manageable IM: 0.2 mg/kg * May repeat as required to continue management |
Dose autonomic hyperreflexia | After identifying causes and trying appropriate actions and if BP remains elevated then: IV: 0.05 mg/kg, over one minute, May be repeated once after 10 minutes if no fall in BP IM: 0.1 mg/kg |
Antiemetic | 0.05 mg/kg IV |
Created by:
mattypepper
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