Risk Medications

4 Some high alert medication relevant for use in the elderly (adopted from ISMP 2008). For a complete list consult ISMP 2008 

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Risk Medication, Medication Review, Medication Reconciliation, Adverse Drug Events, Trigger tools. 

Training of prescribes but also all staff in the elderly care, Evidence Based Medicine, Computerised Prescriber Order Entry, Educational Outreach, inappropriate medications, documentation of clinical benefits, risk medications, drug interactions, pharmacological alterations with age. 

Some clinicians contend that the combination of psychomerapy with an antidepressant is more effective than either treatment alone. Although plausible, objective data to verify mis assumption is not yet available. It is merefore recommended that patients with mild-to-moderate symptoms be treated with time-limited psychotherapy alone, while mose with severe symptoms risking medical compromise and those wim comorbid depression or OCD receive the combination of psychotherapy and antidepressant medication. 

Standardization of medications can be an effective method to reduce errors. High-risk medications can often be standardized to minimize confusion, streamline ordering, and allow preprinted rate charts to be available to staff. Insulin, heparin, cardiovascular agent infusions, and other high-risk medications lend themselves to this safety step. 

It may be entirely appropriate to continue using these medications if they are prescribed. To ensure safe drug use, patients should be cautioned about the risk of falling and encouraged to use extra precautions. High-risk medication should be administered only... 

High risk. Medications, procedures, processes, and disease states for which there is a greater chance for adverse outcomes (e.g., chemotherapy administration, intravenous potassium use, intrathecal injections, anticoagulation, medications with a narrow therapeutic index, and care of immunocompromised patients). 

Remove high risk medications, such as concentrated electrolyte solutions, from patient care areas Label high risk drugs clearly to indicate their danger Remove or clearly differentiate look alike or sound alike drugs... 

Maintenance High-risk medication double checking program... 

Swiss Cheese symbol now prints on all high-risk medication labels. 

List five high-risk medical procedures. 

What two nongovernmental organizations main lists for high-risk medications ... 

Antineoplastics (high-risk medication as well as protection of the personnel from the product)... 

When infusing a high-risk medication, require a second clinician to perform an independent double check of infusion pump settings according to your facility s policy. 

Persons with high-risk medical conditions and/or a 65 years of age and their care providers and household contacts. 

Reduce adverse drug events by improving the process of medication reconciliation, the safe use of high-risk medications, and the reliability of medication dispensing in a 165-bed acute care hospital. 

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