The Institute for Safe Medication Practices (ISMP) has listed a number of medications that are potentially high risk.
Classes or Categories of Drugs |
Examples |
---|---|
adrenergic agonists, IV |
epinephrine |
adrenergic antagonists, IV |
propranolol |
agents for moderate sedation, IV |
|
agents for moderate sedation, oral for children |
chloral hydrate |
anesthetic agents for general anesthesia |
propofol |
anticoagulants |
warfarin (Coumadin), low molecular weight hepariun, unfractionated heparin |
cardioplegic solutions |
|
chemotherapeutic agent, oral or parenteral |
|
concentrated electrolyte solutions, IV |
hypertonic sodium chloride (> 0.9%), concentrated potassium chloride, magnesium sulfate, potassium phosphate |
dialysis solutions |
peritoneal or hemodialysis |
drugs for intrathecal or epidural injection |
|
glycoprotein IIb/IIIa inhibitors |
eptifibatide |
hypoglycemic agents, injectable |
insulin |
hypoglycemic agents, oral |
|
inotropic agents |
digoxin, milrinone |
liposomal drug formulations |
amphotericin B |
neuromuscular blocking agents |
succinylcholine |
opiates or narcotics, oral or IV |
|
radiocontrast agents, IV |
|
a thrombolytic or fibrinoytic agent, IV |
tenecteplase |
total parenteral nutrition (TPN) solutions |
|
Specific drugs that may be high risk:
(1) amiodarone, IV
(2) hypertonic (>= 20%) dextrose, IV
(3) lidocaine, IV
(4) nesiritide
(5) nitroprusside sodium, IV
(6) colchicine
(7) methotrexate, oral
Purpose: To identify high risk medications that a patient may be receiving.
Specialty: Pharmacology, clinical
Objective: pharmacogenetics, adverse effects, drug levels, overdose and reversal
ICD-10: T50,