Administration of Buccal Midazolam for Seizure Treatment

Introduction

In this video, our paramedic discusses the administration of buccal midazolam for the treatment of seizures. Please note that viewing this video does not qualify you to administer or manage this medication. For further training, please contact us.

Understanding Buccal Midazolam

Buccal midazolam is a highly effective drug commonly used in the care industry for individuals experiencing seizures. We will explore how it is delivered, the different forms and doses, and the administration process.

Pre-Filled Syringes

Pre-filled syringes are colour-coded and labelled with the appropriate age group: less than 18 years, less than 10 years, less than five years, and less than one year. The prescribed dosage is specific to each patient. Ensure the following checks before administration:

• Correct patient
• Correct dosage
• Correct date (drug must be in date)
• Seal integrity (must be intact)

Administering Buccal Midazolam

Follow these steps for administering buccal midazolam:

1. Remove the top cap, breaking the seal.
2. Ensure there is no needle attached.
3. Lift the cheek away from the gum.
4. Insert the syringe between the gum and cheek.
5. Gently squeeze the drug into the buccal mucosa.
6. Allow the drug to absorb through the mucous membranes.

Document the administration, including the time and dosage, in the drug book.

Liquid Form of Buccal Midazolam

In some healthcare settings, buccal midazolam may be administered in liquid form. Follow these steps:

1. Check the date stamp and concentration on the bottle.
2. Compress and remove the safety lid.
3. Insert the pipette into the bottle and draw the required dose.
4. Ensure the correct amount is drawn by checking the mark on the syringe stem.
5. Administer the drug as described above.

Safety and Precautions

Always double-check the drug details and ensure a second person confirms the information before administration. Never use medication with a broken seal, and remember that buccal midazolam should never be administered with a needle.

Conclusion

Buccal midazolam is an effective treatment for seizures when administered correctly. Ensure all safety checks are performed and document the process accurately. For further training and information, please contact us.