高危药品目录年.doc

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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
ISMP's 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Ⅱb/Ⅲa 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 greater

dialysis solutions透析液, peritoneal and hemodialysis

epidural or intrathecal medications硬膜外或鞘内药物

Hypoglycemics降糖药, oral

inotropic medications（改变心肌力药物）, IV (e.g., digoxin, milrinone)

Insulin胰岛素, subcutaneous and IV

liposomal 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
IV
transdermal
oral (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, IV

Sterile无菌 water（水） for injection, inhalation, and irrigation
(excluding pour bottles) in containers of 100 mL or more
sodium chloride for injection氯化钠, hypertonic, greater than 0.9% concentration

Specific Medications特殊药物

epoprostenol依前列醇 (Flolan), IV

magnesium sulfate硫酸镁 injection

Methotrexate甲氨蝶呤, oral, non-oncologic use

opium tincture鸦片酊

Oxytocin缩宫素, IV

nitroprusside sodium 硝普钠for injection

potassium chloride氯化钾 for injection concentrate

potassium phosphates磷酸钾 injection

promethazine异丙嗪, IV

Vasopressin加压素, IV or intraosseous

High-alert medications are drugs that bear a heightened risk of
causing significant patient harm when they are used in error.
Although mistakes may or may not be more common with these
drugs, the consequences of an error are clearly more devastating to
patients. We hope you will use this list to determine which medica-
tions require special safeguards to reduce the risk of errors. This
may include strategies such as standardizing the ordering, storage,
preparation, and administration of these products; improving access
to information about these drugs; limiting access to high-alert
medications; using auxiliary labels and automated alerts; and
employing redundancies such as automated or independent double-
checks when necessary. (Note: manual independent double-checks
are not always the optimal error-reduction strategy and may not be
practical for all of the medications on the list).
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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