High Alert Medications

High-Alert Medications

■ Adrenergic agonists/antagonists ■ Anesthetic agents ■ Cardioplegic solutions ■ Chemotherapeutic agents ■ Dextrose solutions > 20% ■ Dialysis solutions ■ Epidural/intrathecal meds ■ Glycoprotein IIb and IIIa inhibitors ■ Hypoglycemic agents (oral) ■ Inotropic meds ■ Liposomal forms of drugs ■ Moderate sedatives ■ Narcotics and opiates ■ Neuromuscular blocking agents ■ Radiocontrast agents ■ Thermolytics and fibrinolytics

■ TPN solutions Specific High-Alert Meds ■ Insulin (IV and SC) ■ IV amiodarone ■ IV calcium ■ IV colchicine ■ IV digoxin ■ IV heparin ■ IV lidocaine ■ IV magnesium ■ IV nitroprusside ■ IV potassium ■ Methotrexate ■ Nesiritide ■ Saline solutions >  0.9% ■ Warfarin