作者lunjon (...)
看板pharmacist
标题[问题] 高警讯药品(high-alert medication)?
时间Fri Sep 23 13:45:37 2011
※ [本文转录自 Pharmacy 看板 #1EV1Z2Rt ]
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)
若只是
高警讯药品1234都算 故应该都给分
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※ 编辑: lunjon 来自: 218.171.224.200 (09/23 13:44)
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※ 编辑: lunjon 来自: 218.171.224.200 (09/23 13:49)
1F：→ maybeif2001:过申覆时间了...= = 09/23 14:02
2F：→ adairchang:NaCl inj. "hypertonic" "more than 0.9% conc." 09/23 14:18
3F：→ adairchang:我怎麽觉得没错= = 09/23 14:18
4F：→ promptkimo:只有3%才是high alert 09/23 18:15
5F：→ crocus:同2F 09/23 20:13
6F：推 mrwow:请问管四算高警讯吗 09/23 23:06
7F：推 a712249:不算阿...我同学吃了一把stilnox都没死 Orz 09/23 23:21
8F：推 mrwow:请问谁有其它家医院高警讯分类，可以给我参考看看的吗？ 09/23 23:32
9F：→ promptkimo:各医院高警讯药品都是参考ISMP去设定的吧 09/24 00:06
10F：→ promptkimo:ISMP的标准我印象中是美国药师大家票选出来的 09/24 00:07
11F：推 cooljoe1985:管4不算高警讯 不过喷了管4又遇到稽查就要哭哭了 09/24 00:39
12F：推 MikeFreeway:管四也要看药品是啥，Tramadol就是高危药品。 09/24 14:01
13F：→ MikeFreeway:我第一次听过生理食盐水是高危药品.... 09/24 14:02
14F：推 mrwow:Moderate sedation agents, oral, for children 09/24 15:28
15F：推 mrwow:请问moderate sedation? 是指中效型的吗？ 09/24 15:30
16F：推 mrwow:为什麽又是for children?我不懂，帮我解答好好吗？ 09/24 15:32
17F：→ lunjon:小孩使用的中效镇静剂 10/06 13:33
18F：→ lunjon:一般为管3或管4中效的口服镇静剂 10/06 13:35