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Procedure: Pull the plunger of the syringe back until the black seal is at the mark on your syringe. Pop the protective plastic cap off the bottle of Versed (midazolam) or lorazepam. Connect the syringe (twist or slip) to the needle or needleless access device and puncture the rubber seal of the medication bottle vial.
MIDACIP Nasal Spray. Each spray delivers: Midazolam, BP 0.5 mg (0.5% w/v). Benzalkonium Chloride, IP . 0.01% w/v. (as preservative) A trial conducted in children compared the pharmacokinetics of midazolam after intranasal and intravenous administration. .. Storage and Handling Instructions.
A special form of midazolam administration is use of the midazolam nasal spray. The nasal spray is only used for patients experiencing epileptic seizures.

right medicine. ? Stay with your child until he or she has received the dose of medicine. ? Midazolam is given through the nose. You will have a syringe filled with midazolam and a Mucosal Atomization Device (MAD), also known as an atomizer. ? The atomizer creates a fine spray to give the medicine into your child's nose.
Twist the atomizer onto the syringe. Page 4 How to Use Nasal Midazolam 4 of 4 9. Use your free hand to hold the top (crown) of your child's head to keep it from moving. 10. Place the tip of the atomizer snugly inside the nostril.
20 Aug 2012
14 Nov 2014
The information in this factsheet reflects the usage of medicine under medical supervision by patients of The Royal Children's Hospital (RCH). Medicine may be used in able to give them midazolam. Intranasal midazolam may be better than buccal midazolam in children who vomit or salivate prominently during seizures.
  (5mg/ml concentration) = (Total mg dose divided by 5mg/ml) + 0.1 ml for dead space of device. Load syringe with appropriate volume of Midazolam (use only 5mg/ml concentration) and attach MAD nasal atomizer. Place atomizer within the nostril. Briskly compress syringe to administer 1/2 of the volume as atomised spray
     

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