Transcription of AHS Provincial High-alert Medication List
1 Provincial High-alert Medication List Classes/Categories of Medications Specific Medications adrenergic agonists: IV ( , epiNEPH rine, ePHED rine, isoproterenol, magnesium sulfate injection PHENYL ephrine, norepinephrine, doBUTamine, doPAMine, salbutamol). methotrexate: oral for non-oncologic adrenergic antagonists: IV ( , propranolol, metoPROLOL, labetalol, use esmolol). nitroprusside sodium for injection anesthetic agents: general, inhaled and IV ( , propofol, ketamine, sevoflurane, isoflurane, desflurane, etomidate) opium tincture antiarrhythmics: IV ( , lidocaine, amiodarone, procainamide, oxytocin: IV. adenosine, bretylium, ibutilide) potassium chloride for injection: antithrombotic agents: concentrate anticoagulants ( , warfarin, acenocoumarol, tinzaparin, potassium phosphates injection enoxaparin, dalteparin, danaparoid, unfractionated heparin, sodium citrate) promethazine: IV.
2 Factor Xa inhibitors ( , fondaparinux, rivaroxaban) vasopressin: IV or intraosseous direct thrombin inhibitors ( , apixaban, argatroban, bivalirudin, dabigatran). thrombolytics ( , alteplase, tenecteplase). glycoprotein IIb/IIIa inhibitors ( ,eptifibitide, tirofiban, abciximab). cardioplegic solutions chemotherapeutic agents: parenteral and oral dextrose: 20% or greater (hypertonic). dialysis solutions: peritoneal and hemodialysis The following medications are also epidural or intrathecal medications associated with higher risk and must inotropic medications: IV ( , digoxin, milrinone) comply with the segregated storage and labelling requirements for high - insulin: subcutaneous and IV alert medications. Refer to the Management of High-alert liposomal forms of drugs and conventional counterparts ( , Medications Policy, Procedure, and amphotericin B, amphotericin B-lipid complex, amphotericin B-liposomal, Electrolytes Guideline for labelling DOXO rubicin HCL, DOXO rubicin-pegylated liposomal, PACL itaxel, specifics: PACL itaxel-nab).
3 Calcium chloride IV. moderate sedation agents: IV ( , dexmedetomidine, lorazepam calcium gluconate IV. midazolam) potassium acetate IV. potassium chloride small volume moderate sedation agents: oral, for children ( , chloral hydrate). bolus bags narcotics/opioids: IV, transdermal, and oral sodium phosphate IV. sodium acetate IV. neuromuscular blocking agents ( , succinylcholine, rocuronium, pancuronium, atracurium, cisatracurium). parenteral nutrition preparations Adapted from Institute for Safe Medication Practice sodium chloride for injection: greater than (hypertonic) sterile water for injection, inhalation, and irrigation (excluding pour bottles) in containers of 100 mL or more sulfonylureas: oral ( , GLICLA zide, glyBURIDE). vasodilating agents: IV ( , epoprostenol, iloprost, treprostinil).
4 Pharmacy Services- Medication Quality and Safety 2019/Jun/11 v6 Page 1 of 1. FOR ALBERTA HEALTH SERVICES USE ONLY. Unauthorized distribution, copying or disclosure is PROHIBITED.
