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高警訊藥品

高警訊藥品

       一個藥品使用錯誤時,有極高機率會對病人造成明顯傷害,則稱此藥為高警訊藥品 ( high-alert medications )。本部比照美國ISMP ( Institute for Safe Medication Practices ) 公佈之高警訊藥品訂定本院之高警訊藥品品項,定期更新公告,提供全院醫療人員參考。

本院高警訊藥品品項一覽表 (限院內)

表. 美國ISMP定義高警訊藥品

應提高警覺之21類藥品 應提高警覺之12項特定藥品
  1. Adrenergic agonists, iv
  2. Adrenergic antagonists, iv
  3. Anesthetic agents, general, inhaled & iv
  4. Antiarrhythmics, iv
  5. Antithrombotic agents, including warfarin,
    low-molecular-weight heparin,
    iv unfractionated heparin,
    factor Xa inhibitors,
    direct thrombin inhibitors,
    thrombolytics, and
    glycoprotein IIb/IIIa inhibitors
  6. Cardioplegic solutions
  7. Chemotherapeutic agents, parenteral & oral
  8. Dextrose, hypertonic, 20% or greater
  9. Dialysis solutions, peritoneal & hemodialysis
  10. Epidural or intrathecal medications
  11. Inotropic medications, iv
  12. Insulin, subcutaneous and IV
  13. Liposomal forms of drugs
    (e.g., liposomal amphotericin B)
  14. Moderate sedation agents, IV
  15. Moderate sedation agents, oral, for children
  16. Narcotics/opiates, iv , transdermal & oral (including liquid concentrates, immediate- & sustained- release)
  17. Neuromuscular blocking agents
  18. Parenteral nutrition preparations
  19. Radiocontrast agents, IV
  20. Sterile water for injection, inhalation, and irrigation (excluding pour bottles) in containers of 100ml or more
  21. Sodium chloride injection, hypertonic, more than 0.9% concentration
  1. EPINEPHrine
  2. Subcutaneous epoprostenol (Flolan), IV
  3. Insulin U-500 (special emphasis)
  4. Magnesium sulfate injection
  5. Methotrexate, oral, non-oncologic use
  6. Opium tincture
  7. Oxytocin, IV
  8. Nitroprusside, sodium, for injection
  9. Potassium chloride for injection
  10. Concentrate potassium phosphates injection
  11. Promethazine, IV
  12. Vasopressin, IV or intraosseous

 

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