Guest guest Posted June 30, 2004 Report Share Posted June 30, 2004 Can midazolam be given rectally? Gene G. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2004 Report Share Posted June 30, 2004 Can midazolam be given rectally? Gene G. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2004 Report Share Posted June 30, 2004 Can midazolam be given rectally? Gene G. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2004 Report Share Posted June 30, 2004 In the EMS system that I am in we use Versed (Midazolam) 0.01mg/kg IV or 0.02mg/kg IM if no IV as the primary medication for seizures. We also have the availability to give the Versed intranasally at 0.03mg/kg with1/2 of the dose administered up each nostril. Max dose is 1ml per nostril (The concentration is 5mg/cc, so max dose is 10mg). The intranasal dose can be repeated once in 5 minutes. The dosages are the same for adult and pediatric pts. We also carry epam and Lorazepam, but Versed is preferred because it is water soluble and once it enters the blood stream it becomes lipid soluble which crosses the blood-brain barrier much faster as compared to the other benzos. My medical director is very passionate about stopping the seizure. Donnie Stone T68b@... wrote: Anyone using anything other than diazepam or lorazepam for seizures? Particularly status in an infant? Thus far all tests negative, baby had 2 vaccines earlier that day. Kathi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2004 Report Share Posted June 30, 2004 Check out this website, it talks about the absorbtion rate of Versed rectally.... Donnie Stone http://homepages.paradise.net.nz/alanmcc/Paradise/eMixtdemo/DWoods/Backpages/rec\ tal.html wegandy1938@... wrote:Can midazolam be given rectally? Gene G. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2004 Report Share Posted June 30, 2004 Check out this website, it talks about the absorbtion rate of Versed rectally.... Donnie Stone http://homepages.paradise.net.nz/alanmcc/Paradise/eMixtdemo/DWoods/Backpages/rec\ tal.html wegandy1938@... wrote:Can midazolam be given rectally? Gene G. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2004 Report Share Posted June 30, 2004 Yep, and it can be given intranasal as well. Some studies suggest that intranasal Midazolam is as effective in cessation of seizures as IV epam. Wonderful drug.... " Tater Salad " Hatfield EMT-P EMStock 2005!! Get ready!!! www.emstock.com www.temsf.org Re: Status seizures--pedi > Can midazolam be given rectally? > > Gene G. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2004 Report Share Posted June 30, 2004 Yep, and it can be given intranasal as well. Some studies suggest that intranasal Midazolam is as effective in cessation of seizures as IV epam. Wonderful drug.... " Tater Salad " Hatfield EMT-P EMStock 2005!! Get ready!!! www.emstock.com www.temsf.org Re: Status seizures--pedi > Can midazolam be given rectally? > > Gene G. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2004 Report Share Posted June 30, 2004 Yep, and it can be given intranasal as well. Some studies suggest that intranasal Midazolam is as effective in cessation of seizures as IV epam. Wonderful drug.... " Tater Salad " Hatfield EMT-P EMStock 2005!! Get ready!!! www.emstock.com www.temsf.org Re: Status seizures--pedi > Can midazolam be given rectally? > > Gene G. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2004 Report Share Posted July 1, 2004 In the EMS system that I am in we use Versed (Midazolam) 0.01mg/kg IV or 0.02mg/kg IM if no IV as the primary medication for seizures. We also have the availability to give the Versed intranasally at 0.03mg/kg with1/2 of the dose administered up each nostril. Max dose is 1ml per nostril (The concentration is 5mg/cc, so max dose is 10mg). The intranasal dose can be repeated once in 5 minutes. The dosages are the same for adult and pediatric pts. We also carry epam and Lorazepam, but Versed is preferred because it is water soluble and once it enters the blood stream it becomes lipid soluble which crosses the blood-brain barrier much faster as compared to the other benzos. My medical director is very passionate about stopping the seizure. Donnie Stone T68b@... wrote: Anyone using anything other than diazepam or lorazepam for seizures? Particularly status in an infant? Thus far all tests negative, baby had 2 vaccines earlier that day. Kathi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2004 Report Share Posted July 1, 2004 In the EMS system that I am in we use Versed (Midazolam) 0.01mg/kg IV or 0.02mg/kg IM if no IV as the primary medication for seizures. We also have the availability to give the Versed intranasally at 0.03mg/kg with1/2 of the dose administered up each nostril. Max dose is 1ml per nostril (The concentration is 5mg/cc, so max dose is 10mg). The intranasal dose can be repeated once in 5 minutes. The dosages are the same for adult and pediatric pts. We also carry epam and Lorazepam, but Versed is preferred because it is water soluble and once it enters the blood stream it becomes lipid soluble which crosses the blood-brain barrier much faster as compared to the other benzos. My medical director is very passionate about stopping the seizure. Donnie Stone T68b@... wrote: Anyone using anything other than diazepam or lorazepam for seizures? Particularly status in an infant? Thus far all tests negative, baby had 2 vaccines earlier that day. Kathi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2004 Report Share Posted July 1, 2004 In the EMS system that I am in we use Versed (Midazolam) 0.01mg/kg IV or 0.02mg/kg IM if no IV as the primary medication for seizures. We also have the availability to give the Versed intranasally at 0.03mg/kg with1/2 of the dose administered up each nostril. Max dose is 1ml per nostril (The concentration is 5mg/cc, so max dose is 10mg). The intranasal dose can be repeated once in 5 minutes. The dosages are the same for adult and pediatric pts. We also carry epam and Lorazepam, but Versed is preferred because it is water soluble and once it enters the blood stream it becomes lipid soluble which crosses the blood-brain barrier much faster as compared to the other benzos. My medical director is very passionate about stopping the seizure. Donnie Stone T68b@... wrote: Anyone using anything other than diazepam or lorazepam for seizures? Particularly status in an infant? Thus far all tests negative, baby had 2 vaccines earlier that day. Kathi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2004 Report Share Posted July 1, 2004 Donnie, Do you have that protocol in electronic form? If so, could you email it to me privately? Thanks, Mike " Tater Salad " Hatfield EMT-P EMStock 2005!! Coming soon!!! www.emstock.com www.temsf.com Re: Status seizures--pedi In the EMS system that I am in we use Versed (Midazolam) 0.01mg/kg IV or 0.02mg/kg IM if no IV as the primary medication for seizures. We also have the availability to give the Versed intranasally at 0.03mg/kg with1/2 of the dose administered up each nostril. Max dose is 1ml per nostril (The concentration is 5mg/cc, so max dose is 10mg). The intranasal dose can be repeated once in 5 minutes. The dosages are the same for adult and pediatric pts. We also carry epam and Lorazepam, but Versed is preferred because it is water soluble and once it enters the blood stream it becomes lipid soluble which crosses the blood-brain barrier much faster as compared to the other benzos. My medical director is very passionate about stopping the seizure. Donnie Stone T68b@... wrote: Anyone using anything other than diazepam or lorazepam for seizures? Particularly status in an infant? Thus far all tests negative, baby had 2 vaccines earlier that day. Kathi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2004 Report Share Posted July 1, 2004 Donnie, Do you have that protocol in electronic form? If so, could you email it to me privately? Thanks, Mike " Tater Salad " Hatfield EMT-P EMStock 2005!! Coming soon!!! www.emstock.com www.temsf.com Re: Status seizures--pedi In the EMS system that I am in we use Versed (Midazolam) 0.01mg/kg IV or 0.02mg/kg IM if no IV as the primary medication for seizures. We also have the availability to give the Versed intranasally at 0.03mg/kg with1/2 of the dose administered up each nostril. Max dose is 1ml per nostril (The concentration is 5mg/cc, so max dose is 10mg). The intranasal dose can be repeated once in 5 minutes. The dosages are the same for adult and pediatric pts. We also carry epam and Lorazepam, but Versed is preferred because it is water soluble and once it enters the blood stream it becomes lipid soluble which crosses the blood-brain barrier much faster as compared to the other benzos. My medical director is very passionate about stopping the seizure. Donnie Stone T68b@... wrote: Anyone using anything other than diazepam or lorazepam for seizures? Particularly status in an infant? Thus far all tests negative, baby had 2 vaccines earlier that day. Kathi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2004 Report Share Posted July 1, 2004 Donnie, Do you have that protocol in electronic form? If so, could you email it to me privately? Thanks, Mike " Tater Salad " Hatfield EMT-P EMStock 2005!! Coming soon!!! www.emstock.com www.temsf.com Re: Status seizures--pedi In the EMS system that I am in we use Versed (Midazolam) 0.01mg/kg IV or 0.02mg/kg IM if no IV as the primary medication for seizures. We also have the availability to give the Versed intranasally at 0.03mg/kg with1/2 of the dose administered up each nostril. Max dose is 1ml per nostril (The concentration is 5mg/cc, so max dose is 10mg). The intranasal dose can be repeated once in 5 minutes. The dosages are the same for adult and pediatric pts. We also carry epam and Lorazepam, but Versed is preferred because it is water soluble and once it enters the blood stream it becomes lipid soluble which crosses the blood-brain barrier much faster as compared to the other benzos. My medical director is very passionate about stopping the seizure. Donnie Stone T68b@... wrote: Anyone using anything other than diazepam or lorazepam for seizures? Particularly status in an infant? Thus far all tests negative, baby had 2 vaccines earlier that day. Kathi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2004 Report Share Posted July 1, 2004 Do you keep your Ativan refrigerated? Yes, we do. Kathi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2004 Report Share Posted July 1, 2004 Do you keep your Ativan refrigerated? Our Medical Director considered switching from Valium, but opted not to because it had to be refrigerated. _____ From: Donnie Stone Sent: Thursday, July 01, 2004 8:39 AM To: Subject: Re: Status seizures--pedi In the EMS system that I am in we use Versed (Midazolam) 0.01mg/kg IV or 0.02mg/kg IM if no IV as the primary medication for seizures. We also have the availability to give the Versed intranasally at 0.03mg/kg with1/2 of the dose administered up each nostril. Max dose is 1ml per nostril (The concentration is 5mg/cc, so max dose is 10mg). The intranasal dose can be repeated once in 5 minutes. The dosages are the same for adult and pediatric pts. We also carry epam and Lorazepam, but Versed is preferred because it is water soluble and once it enters the blood stream it becomes lipid soluble which crosses the blood-brain barrier much faster as compared to the other benzos. My medical director is very passionate about stopping the seizure. Donnie Stone T68b@... wrote: Anyone using anything other than diazepam or lorazepam for seizures? Particularly status in an infant? Thus far all tests negative, baby had 2 vaccines earlier that day. Kathi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2004 Report Share Posted July 1, 2004 Do you keep your Ativan refrigerated? Our Medical Director considered switching from Valium, but opted not to because it had to be refrigerated. _____ From: Donnie Stone Sent: Thursday, July 01, 2004 8:39 AM To: Subject: Re: Status seizures--pedi In the EMS system that I am in we use Versed (Midazolam) 0.01mg/kg IV or 0.02mg/kg IM if no IV as the primary medication for seizures. We also have the availability to give the Versed intranasally at 0.03mg/kg with1/2 of the dose administered up each nostril. Max dose is 1ml per nostril (The concentration is 5mg/cc, so max dose is 10mg). The intranasal dose can be repeated once in 5 minutes. The dosages are the same for adult and pediatric pts. We also carry epam and Lorazepam, but Versed is preferred because it is water soluble and once it enters the blood stream it becomes lipid soluble which crosses the blood-brain barrier much faster as compared to the other benzos. My medical director is very passionate about stopping the seizure. Donnie Stone T68b@... wrote: Anyone using anything other than diazepam or lorazepam for seizures? Particularly status in an infant? Thus far all tests negative, baby had 2 vaccines earlier that day. Kathi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2004 Report Share Posted July 1, 2004 Do you keep your Ativan refrigerated? Our Medical Director considered switching from Valium, but opted not to because it had to be refrigerated. _____ From: Donnie Stone Sent: Thursday, July 01, 2004 8:39 AM To: Subject: Re: Status seizures--pedi In the EMS system that I am in we use Versed (Midazolam) 0.01mg/kg IV or 0.02mg/kg IM if no IV as the primary medication for seizures. We also have the availability to give the Versed intranasally at 0.03mg/kg with1/2 of the dose administered up each nostril. Max dose is 1ml per nostril (The concentration is 5mg/cc, so max dose is 10mg). The intranasal dose can be repeated once in 5 minutes. The dosages are the same for adult and pediatric pts. We also carry epam and Lorazepam, but Versed is preferred because it is water soluble and once it enters the blood stream it becomes lipid soluble which crosses the blood-brain barrier much faster as compared to the other benzos. My medical director is very passionate about stopping the seizure. Donnie Stone T68b@... wrote: Anyone using anything other than diazepam or lorazepam for seizures? Particularly status in an infant? Thus far all tests negative, baby had 2 vaccines earlier that day. Kathi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2004 Report Share Posted July 1, 2004 We do because of the requirements of the drug company. We have a small refrigerator in the box that is powered by the on board generator or by shore line while in the bay. Donnie Supervisor wrote: Do you keep your Ativan refrigerated? Our Medical Director considered switching from Valium, but opted not to because it had to be refrigerated. _____ From: Donnie Stone Sent: Thursday, July 01, 2004 8:39 AM To: Subject: Re: Status seizures--pedi In the EMS system that I am in we use Versed (Midazolam) 0.01mg/kg IV or 0.02mg/kg IM if no IV as the primary medication for seizures. We also have the availability to give the Versed intranasally at 0.03mg/kg with1/2 of the dose administered up each nostril. Max dose is 1ml per nostril (The concentration is 5mg/cc, so max dose is 10mg). The intranasal dose can be repeated once in 5 minutes. The dosages are the same for adult and pediatric pts. We also carry epam and Lorazepam, but Versed is preferred because it is water soluble and once it enters the blood stream it becomes lipid soluble which crosses the blood-brain barrier much faster as compared to the other benzos. My medical director is very passionate about stopping the seizure. Donnie Stone T68b@... wrote: Anyone using anything other than diazepam or lorazepam for seizures? Particularly status in an infant? Thus far all tests negative, baby had 2 vaccines earlier that day. Kathi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2004 Report Share Posted July 1, 2004 or it can be disposed every 90 days, we keep the on board inventory to 3 prefills, as each truck should use them before the 90 day limit. btw, we throw sux away every 14 days for same reason -- yes, the seven new ambulances delivered in 2004 were equipted with refrigerators, ending the throw away problem with half of the ambulances, but not the QRVs and Rescue units. Re: Status seizures--pedi In the EMS system that I am in we use Versed (Midazolam) 0.01mg/kg IV or 0.02mg/kg IM if no IV as the primary medication for seizures. We also have the availability to give the Versed intranasally at 0.03mg/kg with1/2 of the dose administered up each nostril. Max dose is 1ml per nostril (The concentration is 5mg/cc, so max dose is 10mg). The intranasal dose can be repeated once in 5 minutes. The dosages are the same for adult and pediatric pts. We also carry epam and Lorazepam, but Versed is preferred because it is water soluble and once it enters the blood stream it becomes lipid soluble which crosses the blood-brain barrier much faster as compared to the other benzos. My medical director is very passionate about stopping the seizure. Donnie Stone T68b@... wrote: Anyone using anything other than diazepam or lorazepam for seizures? Particularly status in an infant? Thus far all tests negative, baby had 2 vaccines earlier that day. Kathi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2004 Report Share Posted July 1, 2004 or it can be disposed every 90 days, we keep the on board inventory to 3 prefills, as each truck should use them before the 90 day limit. btw, we throw sux away every 14 days for same reason -- yes, the seven new ambulances delivered in 2004 were equipted with refrigerators, ending the throw away problem with half of the ambulances, but not the QRVs and Rescue units. Re: Status seizures--pedi In the EMS system that I am in we use Versed (Midazolam) 0.01mg/kg IV or 0.02mg/kg IM if no IV as the primary medication for seizures. We also have the availability to give the Versed intranasally at 0.03mg/kg with1/2 of the dose administered up each nostril. Max dose is 1ml per nostril (The concentration is 5mg/cc, so max dose is 10mg). The intranasal dose can be repeated once in 5 minutes. The dosages are the same for adult and pediatric pts. We also carry epam and Lorazepam, but Versed is preferred because it is water soluble and once it enters the blood stream it becomes lipid soluble which crosses the blood-brain barrier much faster as compared to the other benzos. My medical director is very passionate about stopping the seizure. Donnie Stone T68b@... wrote: Anyone using anything other than diazepam or lorazepam for seizures? Particularly status in an infant? Thus far all tests negative, baby had 2 vaccines earlier that day. Kathi Quote Link to comment Share on other sites More sharing options...
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