Midazolam can be stored at room temperature and there is no specific expiration date once the medication has been opened
Secured, but accessible storage of the medication should be considered in your medication administration plan
Be sure to ensure the child’s privacy and confidentiality when calling for assistance. Do not say the child’s name over the PA system or walkie-talkie
If possible, have someone assist with removing onlookers and other students to provide the child with privacy
NOTE: The Food and Drug Administration (FDA) has not approved lorazepam or midazolam for administration via this medication route. Since healthcare providers are currently prescribing the medications via this route, if you have questions or concerns, discuss this with the prescribing healthcare provider or the pharmacist
Seizure emergency action plan
Syringe or dropper
Gauze or paper towel
First aid for a seizure:
Call for assistance if someone else is present.
Place the child on a flat surface such as the floor being sure not to move the child any more than is necessary
Turn the child onto his/her side to allow vomit/phlegm to be expelled rather than inhaled
Place something soft under the child’s head to protect them from injury
University of Wisconsin Hospitals and Clinics Authority. (2013). Health Facts for You. Treatment of Prolonged Seizures and Prevention of Status Epilepticus with Buccal Lorazepam or Midazolam.
Bowden, V. R., & Greenberg, C. S. (2012). Pediatric nursing procedures. Chapter 70: Medication Administration: Sublingual and Buccal (Third Edition). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.