High-Alert-Medication-List-2021

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High Alert Medication List (HEBHK)


No Category Medications
1. Adrenergic agonists, IV  Adrenaline (Epinephrine) 1 in 1000 (1mg/ml) Inj
 Noradrenaline (Norepinephrine) 4mg/4ml Inj
 Phenylepherine 10mg/ml Inj
 Ephedrine 30mg/ml Inj

2. Adrenergic antagonists, IV  Propanolol 1mg/ml Inj


 Labetalol 25mg/5ml Inj
 Esmolol 10mg Inj

3. Anaesthetic Agents  Ketamine 500mg/10ml Inj


(General, Inhaled, IV)  Propofol 200mg/20ml Inj
 Dexmedetomidine HCl 100mcg/ml Inj
 Desflurane Liquid
 Sevoflurane Liquid
 Etomidate 20mg/10ml Inj

4. Antiarrhythmics, IV  Amiodarone 150mg/3ml Inj


 Digoxin 0.5mg/2ml Inj
 Lignocaine 100mg/5ml Inj

5. Antithrombotic Agents  Warfarin Sodium 1mg, 2mg, 3mg, 5mg


 Heparin 5000IU/ml
 Heparinised Saline 5000IU/ml
 Enoxaparin 40mg, 60mg Inj
 Fondaparinux 2.5mg/0.5ml Inj, 7.5mg/0.6ml Inj
 Tenecteplase 10,000 unit (50mg) Injection
 Streptokinase 1, 500, 000 IU Injection
 Urokinase 6000 IU injection

6. Antivenom  Polyvalent Antivenom (Hemato, Neuro)

7. Chemotherapeutic Agents, parental  ** All preparations that are clearly labelled as CYTOTOXIC
and oral. agents.

8. Dialysis solutions, peritoneal and  ** All kind of dialysis solutions, peritoneal and hemodyalysis
hemodialysis
9. Dextrose, Hypertonic, 20% or greater  Dextrose 20% (500ml)
 Dextrose 50% (10ml)
 Dextrose 50% (500ml)

UPDATED MARCH 2021 PREPARED BY INPATIENT PHARMACY, HEBHK KLUANG


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10. Epidural or Intrathecal Medications  Bupivacaine Inj (Bupivacaine 0.5% Heavy Inj, Bupivacaine
0.5% Inj, Bupivacaine 0.5% with Adrenaline 1:200,000 Inj)
 Bupi/Fentanyl Inj
 Ropivacaine Injection (2mg/ml Inj, 7.5mg/ml Inj)
 Levobupivacaine 5mg/ml Inj
 Ropi/Fentanyl Inj

11. Glyceryl Trinitrate 50mg/10ml Inj

12. Immunosuppressant agents  All kind immunosuppressant agent

13. Inotropic Medications, IV  Dobutamine 250mg/20ml Inj


 Dopamine 200mg/5ml Inj

14. Insulin, subcutaneous and IV  Insugen R / Actrapid


 Insugen N / Insulatard
 Insugen 30/70 / Mixtard

15. Magnesium Sulphate 2.49g in 5ml Inj

16. Moderate Sedation Agents, IV  Midazolam Inj (5mg/ml, 15mg/3ml)

17. Neuromuscular Blocking Agent  Atracurium Besylate 25mg/2.5ml Inj


 Rocuronium Bromide 10mg/ml Inj
 Suxamethonium Chloride 50mg/ml Injection

18. Opiates and Narcotics  Alprazolam 0.5mg Tab


 Clonazepam 2mg Tab
 Diazepam 5mg Rectal Supp
 Diazepam 5mg Tab
 Fentanyl 0.1mg/ml Inj
 Midazolam 7.5mg Tab
 Midazolam 15mg/3ml, 5ml/ml Inj
 Morphine 10mg Inj
 Morphine Sulphate 30mg SR Tab
 Morphine 10mg/5ml Syrup
 Pethidine 50mg, 100mg Inj
 Phenobarbitone 200mg Inj
 Phenobarbitone 30mg Tab
 Zolpidem Tartrate 10mg Tab
 **And all other drugs clearly labelled as Dangerous Drug
(DD)

UPDATED MARCH 2021 PREPARED BY INPATIENT PHARMACY, HEBHK KLUANG


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19. Parenteral Nutrition preparations  Smof Kabiven Central


 Smof Kabiven Peripheral
 Nutriflex Lipid Special
 SMOF Lipid 20%
 **And all other preparations clearly labelled as TPN

20. Potassium salt Injections  Potassium Chloride 1g/10ml Inj


 Potassium Dihydrogen Phosphate 1.361g/10ml Inj

21. Sodium Chloride solution (greater  Sodium Chloride 20% Inj (10ml)
than 0.9%)  Sodium Chloride 3% Inj (500ml)

22. Inj Oxytocin 10 unit/ml Injection

23. Moderate and minimal sedation  Chloral Hydrate, Midazolam, Ketamine [using the
agents, oral, for children parenteral form

UPDATED MARCH 2021 PREPARED BY INPATIENT PHARMACY, HEBHK KLUANG

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