Midazolam (Versed) Nursing Considerations

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Kara Tarr
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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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Pharmacology Exam III

Concepts Covered:

  • Oncology Disorders
  • Concepts of Pharmacology
  • Medication Administration
  • Nervous System
  • Adulthood Growth and Development
  • Bipolar Disorders
  • Substance Abuse Disorders
  • Depressive Disorders
  • Disorders of Pancreas
  • Intraoperative Nursing
  • Anxiety Disorders
  • Disorders of the Adrenal Gland
  • Central Nervous System Disorders – Brain
  • Hematologic Disorders
  • Respiratory Disorders
  • Cardiac Disorders
  • Immunological Disorders
  • Disorders of the Thyroid & Parathyroid Glands
  • Upper GI Disorders
  • Liver & Gallbladder Disorders
  • Cardiovascular Disorders
  • Urinary System
  • Personality Disorders
  • Psychotic Disorders
  • Peripheral Nervous System Disorders
  • Urinary Disorders
  • Pregnancy Risks
  • Female Reproductive Disorders
  • Neurologic and Cognitive Disorders
  • Noninfectious Respiratory Disorder
  • Learning Pharmacology

Study Plan Lessons

Antineoplastics
Pharmacokinetics
Pharmacodynamics
Parasympathomimetics (Cholinergics) Nursing Considerations
Pain Management for the Older Adult – Live Tutoring Archive
Mood Stabilizers
Methadone (Methadose) Nursing Considerations
MAOIs
Interactive Pharmacology Practice
Insulin Mixing
Insulin Drips
Insulin – Mixtures (70/30)
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin
Glipizide (Glucotrol) Nursing Considerations
Barbiturates
Antidepressants
Antianxiety Meds
Addisons Assessment Nursing Mnemonic (STEROID)
Anticonvulsants
Antianxiety Meds
Barbiturates
MAOIs
Phenobarbital (Luminal) Nursing Considerations
TCAs
Anti Tumor Antibiotics
Alkylating Agents
Sedatives-Hypnotics
Lithium (Lithonate) Nursing Considerations
Pentobarbital (Nembutal) Nursing Considerations
Fluticasone (Flonase) Nursing Considerations
Corticosteroids
Antidiabetic Agents
Sympatholytics (Alpha & Beta Blockers)
Epoetin Alfa
Cyclosporine (Sandimmune) Nursing Considerations
Iodine Nursing Considerations
Levothyroxine (Synthroid)
Propylthiouracil (PTU) Nursing Considerations
Glucagon (GlucaGen) Nursing Considerations
Histamine 2 Receptor Blockers
Histamine 1 Receptor Blockers
Cardiac Glycosides
Calcium Channel Blockers
ACE (angiotensin-converting enzyme) Inhibitors
Metoprolol (Toprol XL) Nursing Considerations
Renin Angiotensin Aldosterone System
Atypical Antipsychotics
Chlorpromazine (Thorazine) Nursing Considerations
Antipsychotics
Haloperidol (Haldol) Nursing Considerations
Atropine (Atropen) Nursing Considerations
Neostigmine (Prostigmin) Nursing Considerations
Parasympatholytics (Anticholinergics) Nursing Considerations
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Autonomic Nervous System (ANS)
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Proton Pump Inhibitors
Ondansetron (Zofran) Nursing Considerations
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin – Short Acting (Regular) Nursing Considerations
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Metformin (Glucophage) Nursing Considerations
Amitriptyline (Elavil) Nursing Considerations
Sertraline (Zoloft) Nursing Considerations
Paroxetine (Paxil) Nursing Considerations
Fluoxetine (Prozac) Nursing Considerations
Escitalopram (Lexapro) Nursing Considerations
SSRIs
Bupropion (Wellbutrin) Nursing Considerations
Antidepressants
Phenytoin (Dilantin) Nursing Considerations
Levetiracetam (Keppra) Nursing Considerations
Lamotrigine (Lamictal) Nursing Considerations
Gabapentin (Neurontin) Nursing Considerations
Carbamazepine (Tegretol) Nursing Considerations
Antianxiety Meds
Buspirone (Buspar) Nursing Considerations
Diazepam (Valium) Nursing Considerations
Midazolam (Versed) Nursing Considerations
Lorazepam (Ativan) Nursing Considerations
Alprazolam (Xanax) Nursing Considerations
Benzodiazepines
Disease Specific Medications
Pharmacology Course Introduction
The SOCK Method – Overview