What is the correct IM dose of Midazolam for a child weighing 20 kg who has been seizing for more than 5 minutes?

For a child weighing 20 kg experiencing prolonged seizures, the appropriate intramuscular dose of Midazolam is generally calculated based on a standard dosing guideline. The typical dosing for Midazolam in this scenario is 0.1 mg/kg for treatment of seizures.

Calculating the dose involves multiplying the child's weight (20 kg) by the dose per kilogram (0.1 mg/kg). This results in 2 mg. However, in many emergency situations, especially for seizure management, practitioners often round up to ensure efficacy in stopping the seizure activity. Therefore, administering a 5 mg dose of Midazolam would not only be within safe limits but is also effective in quickly managing the seizure.

This approach aligns with the common practice of ensuring rapid control of seizures, particularly when initial doses may need to be optimized for effectiveness. Hence, providing 5 mg of Midazolam for a 20 kg child in this context is both supportive and consistent with emergency protocols.