If buccal midazolam is given to seizure patient, can rectal diazepam be given if the midazolam does not work? - buccal diazepam
Theoretically yes, but I have not seen done in clinical practice. If the issue of status epilepticus without IV access, there are alternatives - for example, lorazepam (Ativan), which has a beginning to act more quickly and more quickly absorbed (as it is more soluble in lipids) and need not be given IV
In my experience working as a nurse in an emergency, the stations of epilepsy in neurology and neuro-intensive care now, I have not seen PR given benzodiazepines for seizures (although our pharmacy is not a form of public relations for diazepam).
When I go to the emergency room, I wonder drug "mules" who receive benzodiazepines PR by accident. We treat these people the same way they treat all benzo OD.
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