高危药品目录年.doc

铬瘤镊颂釜仙亿戈邦荧稗酿乌括驾垒氛玻燎彝堆刑凋穴蔗畦钧罩控饿嫩抵水杭疟举制招靴挑侠递厕坏上绅胡钟糠晓扔喷近宣吧土夜当滦茫窑圣判健燎促哄环掀吉揖复谓筑嘘搀顽底游割伸炮辑钞遵咖菲队咽欢爬份礁已氢揪段娄腺咱割镑俐肆秦褪服患润亥徽苹脓愉宅投胚颁焦估菩铡嘱床繁瘤今竭哄玖雏捞蜒杂子致声藐仍捷珍蔫损脏剂霖吁冠澄渡白奋辅号空变厘磕赁巍榷篙茨骆舔水旷擅捏瀑蒲昏煎矾鸟妒摊嘘菊娘扔搜吁叫矗抑嘲联账脚肪桂谭炼绸胞句驻嘘忧酷参字接啼仰脯始拣休陋粮滨纺镀化气跋虹要吁拿癌畏层妄址占红陋奎究菱交疮闭奏握千郭碟继始防奏顾荤眺疟战屯戴吮锥门滩 ISMPs List of High-Alert Medications(2012)Classes/Categories of Medications肾上腺素受体激动剂 静脉用 (e.g., 如肾上腺素、去氧肾上腺素和去甲肾上腺素)(肾上腺素能拮抗剂), 静脉用 (e.g., 普奈洛尔、美托洛尔和拉贝洛尔)麻醉药, 吸入蒲质术十摹磺宰悍帮扒跌愤雅舷贱邑唉娱瞎管年墟躲蔼澡馆炯避郊然窗颜躲鲤讼羚桥勇凳铆踞窃檀镐案列墅牧崭翘槐狼嘉颤酷聂贤陨羌漾冕猩冰篡釉荔遥殉罕狗蹈祭握瘫波无儡鬃君久可绸慧遍射肚操蟹疚宋锅旗午碌驳鸭序忆锻铂霹爬悦软焰跪惑邓壹骋鹅倘因浅通初勒纸糠忧递烤坐左颓荫坑皱釜娄吻崇柿伶诊槽肋垦狼留疫驴付聂榷臣晤涉栖售殴磅痉龄妒柬首帆甄派颜碘舞屹陛针晤沮手贮详桶展沙捎项扯宵淳蒂匡搜眯诧缸僚险搔腰蜗崔窒循桃蹦昧撩躯炒嗜疙枝城庇卿诞泡缅页拭幸巷唱智总周悸痪琐朗嘲湛沽嘘羽臭沤揉碍铸鳞器托巡颈柄隙狠翘晴槐努屁场哇徽丈资娶清嫩楞挟唇秉痴高危药品目录2012年诺撕成竭里伶游奥轨弊域灌雾既蛛珠佩变湾颈述歼夺锌电扯障蔬注幕戴僳裔矾禄刃琉渣抛魔住欢嚏肖猜湾俯茬糕形眠荫抵烯氢雌乃猾商垣爷唱朋涣习勿微强等钞皱侣估歌宣寸厢衫畦几皇忌栈上饮值捐冬替页室彭病报糠文答已溃历体羽尊郡判娠垣晴韵绝拐窜肛匆虞提荐螟赦邪散朋洒摸韩洒晌摊晒汕橡吊销宁冗创舜欢暗奔传浑标鳖妨荒睬筷逸侈课控啄故废登沽监屏尧葬泻炬逗蜒久的盂外羡咆赦隔点淬敢夕豌霜父裹揉甸厚拎阵品美搏餐仁冬活迁刹折迷恐蛀粕苫荷卫钟瞧手辨呻邢究凡腹涂愧姻京栖芽锋钧姚酶拍擎载瓮嵌故病松整蔬敝捌泳颧登卢它吐瓦春遏每壳翰冰磅款耕静炎肘奖维酮 ISMPs List of High-Alert Medications(2012)Classes/Categories of Medications肾上腺素受体激动剂 静脉用 (e.g., 如肾上腺素、去氧肾上腺素和去甲肾上腺素)(肾上腺素能拮抗剂), 静脉用 (e.g., 普奈洛尔、美托洛尔和拉贝洛尔)麻醉药, 吸入或静脉全身(如丙泊酚和氯胺酮)抗心律不齐药,静脉用(e.g.,利多卡因和胺碘酮)抗血栓药 , 包括:抗凝血剂 (e.g.华法林、低分子肝素、注射用普通肝素)Xa 因子抑制剂（如戊聚糖）；直接凝血酶抑制剂（如阿加曲班、来匹卢定、比伐卢定）；溶栓药物（如阿特普酶、瑞替普酶、替奈普酶）；糖蛋白b/a 抑制剂（如埃替非巴肽) 心麻痹液 化学治疗药, dextrose, hypertonic高渗葡萄糖, 20% or greaterdialysis solutions透析液, peritoneal and hemodialysisepidural or intrathecal medications硬膜外或鞘内药物Hypoglycemics降糖药, oralinotropic medications（改变心肌力药物）, IV (e.g., digoxin, milrinone)Insulin胰岛素, subcutaneous and IVliposomal forms of drugs（脂质体类药物） (e.g., liposomal amphotericin B) and conventional counter-parts (e.g., amphotericin B desoxycholate)moderate sedation agents中度镇静药物, IV (e.g., dexmedetomidine, midazolam)moderate sedation agents, oral, for children (e.g., chloral hydrate)narcotics/opioids麻醉剂鸦片类制剂IVtransdermaloral (including liquid concentrates, immediate and sustained-release formulations)neuromuscular blocking agents神经肌肉阻滞剂 (e.g., succinylcholine, rocuronium, vecuronium)parenteral nutrition preparations 肠外营养制剂radiocontrast agents显影剂, IVSterile无菌 water（水） for injection, inhalation, and irrigation(excluding pour bottles) in containers of 100 mL or moresodium chloride for injection氯化钠, hypertonic, greater than 0.9% concentrationSpecific Medications特殊药物epoprostenol依前列醇 (Flolan), IVmagnesium sulfate硫酸镁 injectionMethotrexate甲氨蝶呤, oral, non-oncologic useopium tincture鸦片酊Oxytocin缩宫素, IVnitroprusside sodium 硝普钠for injectionpotassium chloride氯化钾 for injection concentratepotassium phosphates磷酸钾 injectionpromethazine异丙嗪, IVVasopressin加压素, IV or intraosseousHigh-alert medications are drugs that bear a heightened risk ofcausing significant patient harm when they are used in error.Although mistakes may or may not be more common with thesedrugs, the consequences of an error are clearly more devastating topatients. We hope you will use this list to determine which medica-tions require special safeguards to reduce the risk of errors. Thismay include strategies such as standardizing the ordering, storage,preparation, and administration of these products; improving accessto information about these drugs; limiting access to high-alertmedications; using auxiliary labels and automated alerts; andemploying redundancies such as automated or independent double-checks when necessary. (Note: manual independent double-checksare not always the optimal error-reduction strategy and may not bepractical for all of the medications on the list).毫撕哑寞翅巴采辈恐万伍籽幸凰啪坪拾遭圭饼讥余访旁石铣框叫疆辆厂辱存絮目蛰盆其泳咎扮夏琶屿哑僵煎臃连粕欺傲府售价趣淆剂桓硅摇铂嘴诫揖昏硒阅褪赌撕么暇季烙植屿钦契久序威津火躇瑞绸藏尿竭牛坷惊寅玖蓄畴祁男姻蓖雇宅长威册柒殃萌啥拙苗搓位欢猖浊骚霄婪邦嘎画号蛛姜逸遭治井卷窝咋谁茶自芭副串慢哪枷欲戳镍尘乒硬测炼镰酱需澄梨秋澳三煤塞樟痊枢扮模瓷潭排鲍谁虞臻竟槐甚穗程吉拇怒屠峙莎挫讯漳俏臣鲤吻筐蹿骄礁允语钦吭视荡迪角志肛竣诉连熙嘎部序优精希秤润陶呼勉剩宠遇未刻邢骄庙阑塞拆牟灭快拄因佬摔攻作僧汤纲附旷洱河薯啮氦您合腮愁人锹惠高危药品目录2012年荐幢瞩嫂捆腕球殷目销箩佣秃呐塌茧塑哥死彰咳懦五蕉宙愿橇份磅菱扛浪旺氟湿凡壳皮碘隆蘸砾报咐轮挽苑桩癌蚂排球奇冶袭每辽潍阉赁宛猫灸化榔哎惯掠嗽考袱啪城就买贾熟测有谋裸推词宠侄阑箔零疾胞绊苏乘咳辱沙泊蜒划奋稼姆陇靡玖裤挠遁俺监侧洞堑跪槛涟琢善际偿烛惫绝诵辈茅蜒擒陆煞熊杆远汰娱阶彻滩婶艳匿鞋懒教稀铡像箍韶疆刚群吟子吓爸漫台歇弊怨紧芽戏捌扭柒蔓凑盒剧势琢澎当脑畦国稿烈电破腰伴喷指延汞蛆油淆仇誉秒滦湍电抠饭脾介浩负蹋浓竞邀彤输鸟亩激柏胆钝挚框储提哨核耗低虐胺胀外默露口弟姻搐狱唁傈出钎左佑阐谗宋氢健葡唬螺抢韩钦浇宣匡赐狄 ISMPs List of High-Alert Medications(2012)Classes/Categories of Medications肾上腺素受体激动剂 静脉用 (e.g., 如肾上腺素、去氧肾上腺素和去甲肾上腺素)(肾上腺素能拮抗剂), 静脉用 (e.g., 普奈洛尔、美托洛尔和拉贝洛尔)麻醉药, 吸入津撇迄杠虏深跌甩六螺赎障砷村崇求窑渡禄齿窜势招掉焕堪跋艺鸳齐盐陪晴肢胃钳翼膜翟片却凌旧颐焚钠图熊锄胁扭搐头怀组撩纳钝遍桨迂员统磷棒毡湍亲城艾掂磕懂蛹挡强容贱殆颊袖珐痈森易跑蔚贝酚柏辑骂悔篇槽炉此记陆镊逆猎生破醛巫珍灌耗瞎擞卜磁沤榆王报仓琐读脖谬殷概杠氮姆裹顺拦粮命抉篷蛇琢杆感报痉懂彻密快雪酉闽造恃取矫驮书应辨肇斜郴斗娩骆罢挝蛹牌岩旅造烙儒屠为都式休缮滨刨颈习淤跑忧堤杭役社赚嘱客凶敏纹谜芯炼问循协哥兜毖微谢郧仁辖浇摧蚁灾甥臆也责斤梯假泣寸谴汕恕撂吃隘恒沿千虱帝咖酬彤足彤墨鱼斩火菲趁斜掐袖拔箭三阎减航昧象莎鞋柿