high-alert - Department of Nursing

Connecticut Children’s Medical Center - Policy and Procedure ManualMedication Management Date Effective: May 09, 2011High-Alert Medications Date of Origin: February 01, 2005Approved By: Pharmacy and TherapeuticsCommittee, Clinical CouncilDate Approved: May 04, 2011Appendix AConnecticut Children’s High Alert MedicationsInsulinAspartGlargineLenteLisproNPHRegularInsulin CombinationsLispro 75/25NovoLIN 70/30NovoLOG 70/30Antiarrhythmics IVAmiodaroneBreTYLIUMLidocainePhenytoin or FosphenytoinProcainamideVerapamilAnti-CoagulantsAnticoagulant CitrateDextrose AEnoxaparinhePARIN (systemic therapy)WarfarinEpidural MedicationsAny medication by this routeThrombolytic Agents(systemic or regional therapy)AlteplaseUrokinaseCardiac GlycosideDigoxinVasoactive Agents, IVAtenololDOBUTamineDOPamineePHEDrineEPINEPHrineEsmololhydrALAzineIsoproterenolLabetalolMilrinoneniCARdipineNitroprussideNorepinephrinePhentolaminePhenylephrinePropranololTerbutalineNeuromuscular BlockingAgentsCisatracuriumPancuroniumRocuroniumSuccinylcholineVecuroniumIntravenous ElectrolyteBolusCalciumMagnesiumPhosphate SaltsPotassiumIntravenous FluidsSodium Chloride (greaterthan 0.9%)Potassium (greater or equalto 60 mEq/L)Total Parenteral Nutritionand IntralipidsNarcotic Agonists forContinuous Infusion orPCA UsefentaNYLhydroMORphoneMeperidineMethadonemorPHINESedative for ContinuousInfusionDexmedetomidineMidazolamPropofolBarbituratePENTobarbitalPHENobarbitalPage 4 of 5

Connecticut Children’s Medical Center - Policy and Procedure ManualMedication Management Date Effective: May 09, 2011High-Alert Medications Date of Origin: February 01, 2005Approved By: Pharmacy and TherapeuticsCommittee, Clinical CouncilDate Approved: May 04, 2011Appendix BAntineoplastic AgentsAsparaginaseAzaCITIDineArsenic trioxodeBleomycinBusulfanCARBOplatinCarmustinChlorambucilCISplatinClofarabineCyclophosphamideCytarabineDacarbazineDactinomycinDAUNOrubicinDOXOrubicinEtoposideFludarabineFluorouracilGemtuzumabHydroxyureaIdarubicinIfosfamideLomustineMelphalanMercaptopurineMethotrexateMitomycinMitoxantroneMitotanePaclitaxelPegaspargaseriTUXimabThioguanineTopotecanThiotepaVinblastineVincristineVinorelbinePage 5 of 5