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.