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Nurses should be familiarized with high alert medications as these may cause adverse effect to their patients. High alert drugs are those which are known to causing patient safety at risk.

High Alert Drugs

CONCENTRATED ELECTROLYTES

  1. POTASSIUM CHLORIDE
  2. POTASSIUM PHOSPHATE
  3. SODIUM CHLORIDE (>0.9%)
  4. MAGNESIUM SULFATE
  5. CALCIUM CHLORIDE
  6. CALCIUM GLUCONATE

ADRENERGIC AGONIST IV

  1. EPINEPHRINE
  2. PHENYLEPHRINE
  3. NOREPINEPHRINE

ADRENERGIC ANTAGONIST IV

  1. PROPANOLOL
  2. METOPROLOL
  3. LABETALOL

ANESTHETIC AGENTS, GENERAL INHALED AND IV

  1. PROPOFOL
  2. KETAMINE

ANTI-ARRHYTHMICS IV

  1. LIDOCAINE
  2. AMIODARONE

ANTITHROMBOTIC AGENTS (ANTICOAGULANTS)

  1. WARFARIN
  2. LOW MOLECULAR WEIGHT HEPARIN

CARDIOPLEGIC SOLUTIONS

CHEMOTHERAPEUTIC AGENTS (PARENTERAL AND ORAL)

DIALYSIS SOLUTIONS (PERITONEAL AND HEMODIALYSIS)

EPIDURAL OR INTRATHECAL MEDICATIONS

ORAL HYPOGLYCEMICS

INOTROPIC MEDICATION IV

  1. DIGOXIN
  2. MILRINONE

LIPOSOMAL FORMS OF DRUGS

  1. LIPOSOMAL AMHOTERICIN B

MODERATE SEDATION AGENTS (ORAL FOR CHILDREN)

  1. CHLORAL HYDRATE

NARCOTIC/OPIATES (IV, INTRADERMAL, AND ORAL) – INCLUDING LIQUID CONCENTRATES, IMMEDIATE AND SUSTAINED RELEASED FORMULATIONS

NEUROMUSCULAR BLOCKING AGENTS

  1. SUCCINYLCHOLINE
  2. ROCURONIUM
  3. VECURONIUM

RADIOCONTRAST AGENTS IV

TOTAL PARENTERAL NUTRITION SOLUTIONS

SPECIFIC MEDICATIONS: OXYTOCIN, PROMETHAZINE, VASOPRESSIN