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12 Cards in this Set
- Front
- Back
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what are the 6 high risk meds
|
heparin
insulin injectable k neuromuscular blocking agents chemotherapeutic agents opioids |
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what are two examples of neuromuscular
blocking agents |
Norcuron (vercuronium)
Pavulon (pancuronium) |
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what are three examples of opioids
|
dilaudid (hydromorphone hydrochloride)
demerol (meperidine) morphine (morphine sulfate) |
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why is heparin on the high alert list
|
it is given very frequently
it can cause bleeding it can cause HIT-heparin induced thrombocytopenia |
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what is heparin induced
thrombocytopenia |
an allergy to heparin in which pt makes clots
instead of preventing them It can cause clots in distal portions of limbs legs, feet and hands it can lead to a loss of these limbs |
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what is the standardized concentration
for heparin |
25,000 units in 250cc D5W
100 units per 1cc D5W 15 cc=15,000 units per hour 18,000 units per hour =18 cc |
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why is insulin a high alert drug
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to prevent hypoglycemia
need two nurses to verify dose as a safety check |
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why are opioids a high alert drug
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can impair pts respirations
have narcan available |
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why is injectable k a high alert drug
|
can cause arrhythmias
|
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what is the safe concentration dose of injectable K
|
over 2-4 hours
20 Meq/100 cc 40 Meq/200cc |
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why are neuroblocking agents
a high alert drug |
paralyzes pt
stops breathing so will need to be intubated and put on ventilator pt is awake but paralyzed so will need sedative too |
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why are chemotherapeutic
agents high alert drugs |
numerous interactions
need specialist to administer |
