Versed - 10/01/2021

 

ADULT:

Seizures / Cardioversion / Psych / Behavioral Emergencies / Excited Delirium / Pacing / Sedation for                            Intubation

 

10 mg IM  - Seizures. (IM preferable for initial dose)

5 mg IV - Seizers (If IV is present already)

5 mg slow IV  BHO - Cardioversion.

5 mg IM / IN, (IN: 1/2 dose each nostril, Max 1cc per nostril per dose) BHO – Cardioversion.

PEDS:

Seizures

0.2 mg/kg IM, titrated to effect (10 mg maximum). BHO for additional doses.

or

0.1 mg/kg slow IN / IV / IO (if unable to deliver IM or IV/IO already present), titrated to effect (5 mg maximum). May repeat once.

 

Cardioversion / Psych

Over 12 months:

0.1 mg/kg slow IM / IN (1 mg/min), titrated to effect (5 mg maximum). May repeat once.

Under 12 Months: BASE HOSPITAL ORDER

0.1 mg/kg slow IM / IN (1 mg/min), titrated to effect (5 mg maximum). BHO

 

BHO - Cardioversion / Psych / Under 1 y/o age

***DO NOT ADMINISTER IV FOR PEDS***

INDICATIONS:

- On-going and/or recurrent seizure activity.

- Psychiatric/behavioral emergencies (severe agitation).

- Suspected Stimulant Intoxication / Excited Delirium.

- Intolerance/Anxiety with transcutaneous pacing.

- BP > 90 systolic.

- Sedation for cardioversion of SVT / VT (BHO).

- Sedation for Intubation (clenched jaw, coughing or choking), BP > 90.

 

COMMENTS:

- Carefully monitor respiratory status during administration, support ventilation as necessary.

- May be potentiated when combined with ETOH or other CNS depressants.

- Provides an amnesiac effect, NOT a sedative effect, therefore, will not necessarily produce lethargy.

- Consider reducing IM or IV dose of patients > 60 years. 

- In Status Epilepticus:  Duration of action after IV dose is up to 2 hour.

 

Pediatric Versed Dosing - See I-20 Pediatric Medication Doses