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• Definition.
• High alert medications.
• The top five high-alert medications.
• Reduce the risks of high-alert drugs.
• Safeguards for the use of high alert
medications.
I. Definition
Oral hypogylcemics.
Moderate sedation agents I.V (e.g, midazolam), Oral (e.g, chloral hydrate)
Specific medications
Colchicine injection .
Oxyticin I.V.
Promethazine I.V.
1- Insulin.
4- Injectable Anticoagulant.
1- Insulin
- Complexity of dosing.
- Frequent monitoring.
• IV to PO conversion errors.
• Adverse effet :
- Respiratory depression
- Confusion
- Lethargy
Cont..
3- Injectable Potassium Chloride or
Phosphate
2- Mental confusion.
3- Hypotension.
4- Cardiac arrhythmia.
5- Heart block.
Cont..
4- Injectable anticoagulant ( Heparin )
- Multi-dose containers.
• Technological aids:
2- Bar coding
b. Rely on redundancies.
– patient name
– drug order as written
– spelling of the drug name
Cont..
3. Minimize consequences of errors
• http://www.ismp.org/newsletters/acutecare/articles/
20070517.asp