作者lunjon (...)
看板Pharmacy
标题[问题] 高警讯药品(high-alert medication)?
时间Fri Sep 23 13:27:20 2011
依美国ISMP定义
当一个药物在使用错误时，有很高的机率对病人造成明显伤害危险，就称其为高警讯
药品（high-alert medications）。
美国ISMP (Institute for Safe Medication Practices)定义高警讯药品共有19类及
13项特定品项。
应提高警觉之13项
特定药品
1. Colchicine injection
2. Epoprostenol
3. Insulin, subcutaneous & iv
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 concentrate
10. Potassium phosphates injection
11. Promethazine
12. Sodium chloride injection, hypertonic,
more than 0.9% concentration
13. Sterile water for injection, inhalation, and
irrigation (excluding pour bottles) in
containers of 100 ml or more
应提高警觉之19
类药品
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. Hypoglycemics, oral
12. Inotropic medications, iv
13. Liposomal forms of drugs
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. Radiocontrast agents, iv
19. Total parenteral nutrition solutions
12. Inotropic medications, iv
13. Liposomal forms of drugs
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. Radiocontrast agents, iv
19. Total parenteral nutrition solutions
参考资料
http://www.ismp.org/tools/highalertmedications.pdf
同样是高警讯药品如何判定级别?
黄字是100年第二次药师考的题目
调剂学与临床药学
41.下列那些属於高警讯药品(high-alert medication)?
(1)dextrose 20%, 500ml (2)KCL 20 mEq/amp (3)Magnesium sulfate 10%, 20ml/amp
(4)Sodium chloride 0.9%, 1 L
(A)123 (B)124 (C)134 (D)234
公布答案 (A)
--
※ 发信站: 批踢踢实业坊(ptt.cc)
◆ From: 218.171.224.200
※ 编辑: lunjon 来自: 218.171.224.200 (09/23 13:44)
1F：推 promptkimo:不知道你的问题点是 09/23 18:14
2F：→ lunjon:请问这4个药品是否都为高警讯药品的范围 09/23 19:06
3F：→ promptkimo:答案已经很清楚了normal salin一定不是 09/23 22:53
4F：→ huan125:大於0.9%的saline要注意 (帮翻译.... 09/24 05:11