Medications not yet evaluated by P&T are considered NON-FORMULARY . . . . . Always check 2 unique patient identifiers - NAME and DATE OF BIRTH - at every step! . . . . . Please be sure to document all clinical activities daily.

<< Back to News

6/9/22 dc Midazolam
June 21, 2022

From: "David Collette" <david.collette@hhsys.org>
To: "grp allpharm" <grp_allpharm@hhsys.org>
Sent: Thursday, June 9, 2022 8:55:14 AM
Subject: midazolam

 

With the recent LORazepam 2 mg injection shortage, we have had some situations where midazolam injection was interchanged and administered in place of LORazepam on a regular unit. Our policy has NOT been changed to allow use of midazolam IV push outside of ICUs procedural areas. If LORazepam IV push is ordered outside of these 2 areas, pharmacists must work with the prescriber to choose an alternate drug that is approved for that area. Depending on the situation, some options for non-ICU, non-procedural areas may include
  • oral LORazepam
  • alprazolam
  • chlordiazepoxide
  • diphenhydramine inj
  • hydroxyzine inj
  • phenobarbital (alcohol withdrawal)
  • haloperidol (note restrictions) or ziprasidone or olanzapine (more severe agitation)
Thanks you for helping us work through this shortage and by providing the safest and most effective care for our patients. If you have questions, please call me. DAVID






This site is intended for the staff of Huntsville Hospital.
While others may view accessible pages, Huntsville Hospital makes no warranty, express or implied,
as to the use of this information outside of Huntsville Hospital.
Please note than many documents are accessible via the provided link
only when connected to the Huntsville Hospital intranet.