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EMR
EMT
AEMT
Paramedic
Extended
Midazolam (Versed)
Action
Onset
Sedative, Amnesic
Short acting benzodiazepine
2-5 minutes
Indications
Seizure
Agitation / Combativeness
Adult Dose
Seizure: 10 mg IM only, consider 5 mg if frail elderly or chronic illness
Agitation / Combativeness: 4 mg IM only
Pediatric Dose
5 mg IM if > 40 kg (88 lbs)
2.5 mg IM if 13-40 kg (28.6-88 lbs)
0.1 mg/kg IM if < 13kg (28.6 lbs), Maximum 2.5 mg
Contraindications
Hypersensitivity, glaucoma, acute alcoholic intoxication with depressed vital signs
Adverse Reactions
Fluctuations in vital signs were most frequently seen. Decreased tidal volume and/or respiratory rate, apnea,
variations in blood pressure
Precautions
Doses should be decreased in frail elderly and debilitated patients.
Considerations
Consider reducing the dose on frail elderly and debilitated patients. These patients may take longer to recover
from the drug. Always have airway equipment available when using.
Midazolam (Versed
®
)