Advanced Life Support (ALS) Level 3 (VTQ)

117 videos, 6 hours and 42 minutes

Course Content

Buccal Midazolam kits

Video 54 of 117
5 min 48 sec
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Buccal Midazolam: Effective Seizure Management

Understanding Buccal Midazolam Delivery

Exploring Different Forms, Dosages, and Administration Techniques

Pre-filled Syringes

  • Colour-Coded Syringes: Syringes are colour-coded for easy identification (e.g., orange, purple, blue, yellow) based on patient age (e.g., less than 18 years, less than 10 years, less than five years, less than one year).
  • Prescription-Based Dosage: Dosages are patient-specific and should not be calculated unless a healthcare professional is assigned to that role.
  • Verify Critical Details: Confirm patient identity, dosage, and expiry date on the syringe label to ensure accuracy and safety.
  • Seal Integrity: Ensure that the seal on the syringe is intact; never use medication with a broken seal.
  • Administration: Administer the drug into the buccal mucosa (between the outer gum and cheek) without a needle.
  • Effective Absorption: Encourage gentle rubbing to aid drug absorption through the mucous membrane.
  • Documentation: Record the administration time and dosage in the patient's drug record.

Liquid Form

  • For Set Dosages: Suitable when patients require a specific midazolam dose.
  • Safe Bottle Design: Bottles feature a safety lid to prevent tampering.
  • Pipette Compatibility: Bottles have a built-in bung for secure pipette placement.
  • Dosage Preparation: Shake the bottle to ensure proper mixing, then draw the required dose into a syringe with marked dilutions.
  • Administration: Administer the drug into the buccal mucosa as described earlier, without a needle.

Always prioritise patient safety, confirming critical details and adhering to proper administration techniques.