Epilepsy – Box 29

The NationalHospital for Neurology and Neurosurgery

Queen Square, London, WC1N 3BG

Date

Consultant Neurologist:

Care Plan forthe Administration of Buccolam® Oromucosal Solution (Buccal Midazolam) To Control Epileptic Seizures

Patient Details

This plan is intended to give guidance on when the administration of rescue medication in the form of Buccolam® (buccal midazolam) 10mgshould be considered. The responsibility for the prescribing of Buccolam ® buccal midazolam is shared between GP and the neurology service at the National Hospital for Neurology and Neurosurgery as outlined in the shared care guidelines for the use of Buccolam® oromucosal solution (buccal midazolam).

Description of each seizure type that may require intervention

Indications for the Administration of Buccolam® Buccal Midazolam 10mg:

Repeat Dosing

When to call for an ambulance

Usual Response to Buccolam® Buccal Midazolam

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Other Occasions to Call foran Emergency Ambulance:

  • If there are concerns about breathing, Buccolam® (buccal midazolam) should not be given and an emergency ambulance must be called without delay.
  • If it is not possible to administer Buccolam® (buccal midazolam) when indicated for whatever reason, an emergency ambulance must be called without delay.
  • Following the administration of Buccolam®(buccal midazolam), the individual should be closely observed and their breathing checked continuously until they have fully recovered.If there is any cause for concern, an emergency ambulance must be called without delay.
  • It is not possible for this plan to cover every conceivable situation and there may be occasions where Buccolam®(buccal midazolam) and/or urgent medical attention is required that are not considered here. If family or carers supporting the individual have concerns at any time, they should seek urgent medical attention without delay via an emergency ambulance if necessary.

Other Points:

  • The epilepsy specialist nurse will demonstrate the procedure of giving Buccolam® (buccal midazolam) to family members of the individual.
  • A record should be maintained containing details of every occasion Buccolam® (buccal midazolam) is administered.
  • Professional carers are advised to seek training from a reputable source. The epilepsy specialist nurses will be able to advise on training providers.
  • Care homes should keep a register of staff who have been trained in the procedure and ensure that they have insurance cover in place.

This plan has been prepared by the epilepsy specialist nurse and/or the consultant neurologist. It will be shared with the patient, their family and carers, and the GP.

Anthony Linklater

Epilepsy Specialist Nurse

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