| adrenergic agonists, IV (e.g., EPINEPHrine, phenylephrine, norepinephrine) |
| adrenergic antagonists, IV (e.g., propranolol, metoprolol, labetalol) |
| anesthetic agents, general, inhaled and IV (e.g., propofol, ketamine) |
| ( antiarrhythmics, IV (e.g., lidocaine, amiodarone |
| antithrombotic agents, includinganticoagulants (e.g., warfarin, low molecular weight heparin, unfractionated heparin)[b] cardioplegic solutions |
| chemotherapeutic agents, parenteral and oral |
| dextrose, hypertonic, 20% or greater |
| dialysis solutions, peritoneal and hemodialysis |
| epidural and intrathecal medications |
| inotropic medications, IV (e.g., digoxin, milrinone |
| insulin, subcutaneous and IV |
| liposomal forms of drugs (e.g., liposomal amphotericin B) and conventional counterparts (e.g., amphotericin B desoxycholate) |
| moderate sedation agents, IV (e.g., dexmedetomidine, midazolam, LORazepam) |
| moderate and minimal sedation agents, oral, for children (e.g., chloral hydrate, midazolam, ketamine [using the parenteral form]) |
| opioids, including[b] neuromuscular blocking agents (e.g., succinylcholine, rocuronium, vecuronium) |
| parenteral nutrition preparations |
| sodium chloride for injection, hypertonic, greater than 0.9% concentration |
| sterile water for injection, inhalation and irrigation (excluding pour bottles) in containers of 100 mL or more |
| sulfonylurea hypoglycemics, oral (e.g., chlorproPAMIDE, glimepiride, glyBURIDE, glipiZIDE, TOLBUTamide) |
| EPINEPHrine, IM, subcutaneous |
| epoprostenol (e.g., Flolan), IV |
| insulin U-500 (special emphasis*) (* All forms of insulin, subcutaneous and IV, are considered a class of high-alert medications. Insulin U-500 has been singled out for special emphasis to bring attention to the need for distinct strategies to prevent the types of errors that occur with this concentrated form of insulin.) |
| magnesium sulfate injection |
| methotrexate, oral, nononcologic use |
| nitroprusside sodium for injection |
| opium tincture |
| oxytocin, IV |
| potassium chloride for injection concentrate |
| potassium phosphates injection |
| promethazine injection |
| vasopressin, IV and intraosseous |
الأدوية عالية الخطورة هي تلك الأدوية التي تحمل خطراً كبيراً في التسبب في ضرر كبير للمريض عند استخدامها عن طريق الخطأ.<a name=\'more\'></a>تقوم لجنة الصيدلة والعالجيات في المستشفى بتحديد وإصدار قائمة لألدوية العالية الخطورة والتي تتطلب إجراءات وقائية في أي خطوة من عمليات إدارة الدواء بناءاً على مراجعة التقارير السالمة الدوائية الداخلية والخارجية أو بيانات أحداث الجسيمة.مجموعات الأدوية العالية الخطورة: