Classes/Categories of Medications Specific Medications
adrenergic agonists: IV (e.g., epiNEPHrine, ePHEDrine, isoproterenol, Epoprostenol: IV PHENYLephrine, norepinephrine, doBUTamine, dopamine, salbutamol) magnesium sulfate injection adrenergic antagonists: IV (e.g., propranolol, metoPROLOL, labetalol, esmolol) methotrexate: oral for non-oncologic use anesthetic agents: general, inhaled and IV (e.g., propofol, ketamine, sevoflurane, isoflurane, desflurane, etomidate) opium tincture
antiarrhythmics: IV (e.g., lidocaine, amiodarone, procainamide, oxytocin: IV
adenosine, bretylium, ibutilide) nitroprusside sodium for injection antithrombotic agents: potassium chloride for injection: anticoagulants (e.g., warfarin, acenocoumarol, tinzaparin, concentrate enoxaparin, dalteparin, danaparoid, unfractionated heparin) factor Xa inhibitors (e.g., fondaparinux, rivaroxaban) potassium phosphates injection direct thrombin inhibitors (e.g., apixaban, argatroban, promethazine: IV bivalirudin, dabigatran) thrombolytics (e.g., alteplase, tenecteplase) vasopressin: IV or intraosseous glycoprotein IIb/IIIa inhibitors (e.g.,eptifibitide, tirofiban, abciximab) cardioplegic solutions chemotherapeutic agents: parenteral and oral dextrose: 20% or greater (hypertonic) dialysis solutions: peritoneal and hemodialysis epidural or intrathecal medications hypoglycemics: oral (e.g., acarbose, GLICLAzide, glyBURIDE, The following medications are also metFORMIN, pioglitazone, repaglinide, SITagliptin, linagliptin, saxagliptin) associated with higher risk and must comply with the segregated storage inotropic medications: IV (e.g., digoxin, milrinone) and labelling requirements for high- insulin: SC and IV alert medications. Refer to the Management of High-alert liposomal forms of drugs and conventional counterparts (e.g., Medications Policy, Procedure, and amphotericin B, amphotericin B-lipid complex, amphotericin B-liposomal, Electrolytes Guideline for labelling DOXOrubicin HCL, DOXOrubicin- pegylated liposomal, PACLitaxel, specifics: PACLitaxel-nab) calcium chloride IV moderate sedation agents: IV (e.g., dexmedetomidine, midazolam) calcium gluconate IV potassium acetate IV moderate sedation agents: oral, for children (e.g., chloral hydrate) potassium chloride small volume bolus bags narcotics/opioids: IV, transdermal, and oral sodium phosphate IV neuromuscular blocking agents (e.g., succinylcholine, rocuronium, sodium acetate IV pancuronium, atracurium, cisatracurium) parenteral nutrition preparations Institute for Safe Medication Practice. Retrieved from radiocontrast agents: IV http://www.ismp.org/Tools/highalertmedications.pdf on Sep, 17, 2014. sterile water for injection, inhalation, and irrigation (excluding pour ISMP 2014. Permission is granted to reproduce bottles) in containers of 100 mL or more material with proper attribution for internal use within healthcare organizations. Other reproduction sodium chloride for injection: greater than 0.9% (hypertonic) is prohibited without written permission from ISMP.
Pharmacy Services-Medication Quality and Safety 2014/09/29 v3 Page 1 of 1
FOR ALBERTA HEALTH SERVICES USE ONLY .Unauthorized distribution, copying or disclosure is PROHIBITED.