作者lunjon (...)
看板pharmacist
標題[問題] 高警訊藥品(high-alert medication)?
時間Fri Sep 23 13:45:37 2011
※ [本文轉錄自 Pharmacy 看板 #1EV1Z2Rt ]
作者: lunjon (...) 看板: Pharmacy
標題: [問題] 高警訊藥品(high-alert medication)?
時間: Fri Sep 23 13:27:20 2011
依美國ISMP定義
當一個藥物在使用錯誤時，有很高的機率對病人造成明顯傷害危險，就稱其為高警訊
藥品（high-alert medications）。
美國ISMP (Institute for Safe Medication Practices)定義高警訊藥品共有19類及
13項特定品項。
應提高警覺之13項
特定藥品
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
應提高警覺之19
類藥品
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. 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
參考資料
http://www.ismp.org/tools/highalertmedications.pdf
同樣是高警訊藥品如何判定級別?
黃字是100年第二次藥師考的題目
調劑學與臨床藥學
41.下列那些屬於高警訊藥品(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
公佈答案 (A)
若只是
高警訊藥品1234都算 故應該都給分
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※ 編輯: lunjon 來自: 218.171.224.200 (09/23 13:44)
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◆ From: 218.171.224.200
※ 編輯: lunjon 來自: 218.171.224.200 (09/23 13:49)
1F：→ maybeif2001:過申覆時間了...= = 09/23 14:02
2F：→ adairchang:NaCl inj. "hypertonic" "more than 0.9% conc." 09/23 14:18
3F：→ adairchang:我怎麼覺得沒錯= = 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:請問管四算高警訊嗎 09/23 23:06
7F：推 a712249:不算阿...我同學吃了一把stilnox都沒死 Orz 09/23 23:21
8F：推 mrwow:請問誰有其它家醫院高警訊分類，可以給我參考看看的嗎？ 09/23 23:32
9F：→ promptkimo:各醫院高警訊藥品都是參考ISMP去設定的吧 09/24 00:06
10F：→ promptkimo:ISMP的標準我印象中是美國藥師大家票選出來的 09/24 00:07
11F：推 cooljoe1985:管4不算高警訊 不過噴了管4又遇到稽查就要哭哭了 09/24 00:39
12F：推 MikeFreeway:管四也要看藥品是啥，Tramadol就是高危藥品。 09/24 14:01
13F：→ MikeFreeway:我第一次聽過生理食鹽水是高危藥品.... 09/24 14:02
14F：推 mrwow:Moderate sedation agents, oral, for children 09/24 15:28
15F：推 mrwow:請問moderate sedation? 是指中效型的嗎？ 09/24 15:30
16F：推 mrwow:為什麼又是for children?我不懂，幫我解答好好嗎？ 09/24 15:32
17F：→ lunjon:小孩使用的中效鎮靜劑 10/06 13:33
18F：→ lunjon:一般為管3或管4中效的口服鎮靜劑 10/06 13:35