Intranasal Midazolam Administration

​Step 1:

​ 

• Remove blunt needle cover

(Do not dispose blunt needle cover)

• Assemble the blunt needle and the syringe as shown in this picture

​Step 4:

• Place the assembled needle and syringe into the ampoule as shown
• Withdraw the prescribed volume of solution
• Hold the syringe upright with nozzle facing up against the light to check that the solution is clear
• Expel trapped air if present. Withdraw midazolam again if volume falls below prescribed
• Cap the blunt needle once the required volume has been withdrawn
• Remove the capped needle

​Step 2:

• Gently swirl the Midazolam ampoule (15mg/3mL) until all the solution is at the bottom as shown in the picture on the right
• The solution should be clear; do not use if cloudy.

​Step 5:

• Assemble the atomizer to the syringe as shown

​Step 3:

• Hold the bottom part of the ampoule between the thumb and first finger of one hand.
• Ensure that the spot on the ampoule is facing away from you
• If possible, cover the top of the ampoule with a tissue or towel before holding the top between the thumb and first finger of your other hand.
• Snap the top of the ampoule off by pushing away from the side with the spot (in the direction of the arrow).

​Step 6:

• Lie the child on a flat surface
• Place the assembled atomizer and the syringe firmly on the nostril
• Press the plunger of the syringe quickly to administer about half of the volume as atomised spray into a nostril
• Move the device over to the opposite nostril and administer the remaining medication into that nostril