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High Alert Medications List - American Nurses Association

Institute for Safe medication Practices for Safe medication Practices Classes/ Categories of Medicationsadrenergic agonists, IV ( , epinephrine, phenylephrine, norepinephrine)adrenergic antagonists, IV ( , propranolol, metoprolol, labetalol)anesthetic agents, general, inhaled and IV ( , propofol, ketamine)antiarrhythmics, IV ( , lidocaine, amiodarone) antithrombotic agents (anticoagulants), including warfarin, low-molecular-weightheparin, IV unfractionated heparin, Factor Xa inhibitors (fondaparinux), directthrombin inhibitors ( , argatroban, lepirudin, bivalirudin), thrombolytics ( ,alteplase, reteplase, tenecteplase), and glycoprotein IIb/ IIIa inhibitors ( , eptifi-batide) cardioplegic solutionschemotherapeutic agents, parenteral and oraldextrose, hypertonic, 20% or greaterdialysis solutions, peritoneal and hemodialysisepidural or intrathecal medicationshypoglycemics, oralinotropic Medications , IV ( , digoxin, milrinone)liposomal forms of drugs ( , liposomal amphotericin B)moderate sedation agents, IV ( , midazolam)moderate sedation agents, oral, for children ( , chloral hydrate)narcotics/opiates, IV, transdermal, and oral (including liquid concentrates, immediateand sustained-release form)

reproduction is prohibited without written permission. Unless noted, reports were received through the USP-ISMP Medication Errors Reporting Program (MERP). Report actual and potential medication errors to the MERP via the web at www.ismp.org or by calling 1-800-FAIL-SAF(E).

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