Midazolam (Versed) Nursing Considerations

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Outline

Generic Name

midazolam

Trade Name

Versed

Indication

sedation, conscious sedation, anesthesia, status epilepticus

Action

acts to produce CNS depression, may be mediated by GABA

Therapeutic Class

antianxiety agent, sedative/hypnotics

Pharmacologic Class

Benzodiazepine

Nursing Considerations

• assess level of sedation during and for 2-6 hours following
• monitor blood pressure, pulse, respirations during IV administration
• may lead to apnea, cardiac arrest, respiratory depression
• antidote for overdose is Romazicon (flumazenil)

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Transcript

Hey guys, I’m excited today to talk to you about Meda also known as a versa. This is an injectable medication, as you can see here, and it comes in other forms like intranasal, oral and bugle. Okay guys. So the therapeutic classroom is how the drug works in the body. And for Mela, it is an anti-anxiety agent and also a sedative or hypnotic the pharmacologic class or the chemical effect of Mela is a benzodiazepine. So Melis mechanism of action is it produces central nervous system depression, which may be mediated by GABA. So we use Mela or versa for sedation, for conscious sedation, for anesthesia, for moderate sedation and for status epilepticus. So with Mela, sometimes patients will experience amnesia or will, will not remember. They will have respiratory depression, including apnea. 

Let’s take a look at a few nursing considerations for Meda. Be sure to assess your patient’s level of sedation during, and then two to six hours following Meda administration during IV administration, you have to monitor your patient’s blood pressure, pulse and respiratory rate. In addition to the side effects already mentioned, firsted Dalin can lead to cardiac arrests. So that’s important to know in the instance of an overdose where Mascon or flu MAOL is the antidote or reversal agent. So be sure to teach the patient to take Meda exactly as directed. And it’s not uncommon for there to be memory loss after a surgical procedure guys, I work in surgery and if I had a dollar every time somebody said, Nope, you guys put me to sleep before I went into the, or, which is absolutely not true, but of the ver said they can’t remember. So it happens. It really truly does cause AMIA and also in an emergency. If the patient doesn’t have a line available, Meda can be given intranasally with basically the same onset of action and peak effect. That’s sit for Meda or birthed now go out and be your best self today. And as always happy nursing.

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