In each blank, try to type in the
word that is missing. If you've
typed in the correct word, the
blank will turn green.
If your not sure what answer should be entered, press the space bar and the next missing letter will be displayed. When you are all done, you should look back over all your answers and review the ones in red. These ones in red are the ones which you needed help on. Generic: BuprenorphineBrand: Buprenex Selected Adverse Effects: 1. Respiratory depression 2. Dizziness 3. Sedation PHARMACY CATEGORY: Analgesic, OpioidConsideration: ISMP High-alert Generic: Brand: SublimazeSelected Adverse Effects: 1. Constipation 2. Confusiondizziness 3. Respiratory depressionPHARMACY CATEGORY: Analgesic, OpioidConsideration: ISMP High-alert medication Generic: HydromorphoneBrand: DilaudidSelected Adverse Effects: 1. Constipation 2. 3. Hypotension 4. Itching 5. Respiratory depressionPHARMACY CATEGORY: , OpioidConsideration: ISMP High-alert medication Generic: KetorolacBrand: ToradolSelected Adverse Effects: 1. Dyspepsia 2. GI symptoms (nausea, abdominal pain, constipation, diarrhea) 3. GI bleeding
(rare but serious)PHARMACY CATEGORY: Consideration: Generic: Morphine Brand: Duramorph, InfumorphSelected Adverse Effects: 1. Constipation 2. Drowsiness 3. Nausea/ vomiting 4. Respiratory depressionPHARMACY CATEGORY: Analgesic, OpioidConsideration: ISMP High-alert medication
Use only preservative-free solutions for administration Generic: KetamineBrand: KetalarSelected Adverse Effects: 1. Prolonged emergence from anesthesia (confusion, delirium, dreamlike state, hallucinations,
vivid imagery)PHARMACY CATEGORY: Antidepressant; General AnestheticConsideration: ISMP High-alert Generic: LidocaineBrand: XylocaineSelected Adverse Effects: 1. Dizziness 2. Nausea vomiting 3. Paresthesia 4. HypotensionPHARMACY CATEGORY: Antiarrhythmic Agent, Class Ib; Local AnestheticConsideration: ISMP High-alert Generic: PropofolBrand: DiprivanSelected Adverse Effects: 1. Apnea 2. Hypotension 3. Injection site pain 4. HypertriglyceridemiaPHARMACY CATEGORY: AnestheticConsideration: ISMP High-alert medication
Expires 12 hours from opening. All tubing and unused portions be discarded at that
time. Generic: FosphenytoinBrand: CerebyxSelected Adverse Effects: 1. Ataxia 2. 3. SomnolencePHARMACY CATEGORY: Antiseizure , HydantoinConsideration: Rate infusion:not faster than 150 mg PE/ minute Generic: LevetiracetamBrand: Selected Adverse Effects: 1. Hypertension 2. Vomiting 3. PHARMACY CATEGORY: Antiseizure Agent, MiscellaneousConsideration: Generic: Brand: DilantinSelected Adverse Effects: 1. Exfoliate dermatitis 2. Stevens-Johnson syndrome 3. Blood dyscrasias 4. CNS toxicityPHARMACY CATEGORY: Antiseizure Agent, HydantoinConsideration: Rate of infusion: do not infuse faster than 50 mg/minute Generic: ValproateBrand: DepaconSelected Adverse Effects: 1. Thrombocytopenia 2. 3. DiplopiaPHARMACY CATEGORY: Antimanic Agent; Antiseizure Agent, Miscellaneous; Histone Deacetylase Consideration: Generic: Haloperidol lactateBrand: Selected Adverse Effects: 1. Extrapyramidal 2. Hyperkinesia 3. AkathisiaPHARMACY CATEGORY: First Generation (Typical) AntipsychoticConsideration: Note salt formulation: haloperidol lactate can be administered IM or IV; haloperidol decanoate
is a long-acting formulation and is only for IM injection - should never be given IV. Generic: OlanzapineBrand: ZyprexaSelected Adverse Effects: 1. Drowsiness 2. Extrapyramidal symptomsPHARMACY CATEGORY: Agent; Second Generation (Atypical) AntipsychoticConsideration: Generic: Brand: GeodonSelected Adverse Effects: 1. Drowsiness 2. Extrapyramidal symptomsPHARMACY CATEGORY: Antimanic Agent; Second Generation (Atypical) AntipsychoticConsideration: Generic: Brand: ValiumSelected Adverse Effects: 1. Drowsiness 2. Slow breathing ratePHARMACY CATEGORY: BenzodiazepineConsideration: Generic: Brand: AtivanSelected Adverse Effects: 1. Drowsiness 2. Slow breathing ratePHARMACY CATEGORY: BenzodiazepineConsideration: ISMP High-alert medication Generic: MidazolamBrand: Selected Adverse Effects: 1. Drowsiness 2. Slow rate 3. Decreased tidal volumePHARMACY CATEGORY: BenzodiazepineConsideration: ISMP High-alert medication
Some formulations contain benzyl alcohol; use a preservative-free injection formulation in
neonates Generic: AcetylcysteineBrand: AcetadoteSelected Adverse Effects: 1. AnaphylaxisPHARMACY CATEGORY: Antidote; Mucolytic AgentConsideration: Should be through an in-line filter Generic: AtropineBrand: AtropineSelected Adverse Effects: 1. side effects (dry mucous membranes, urinary retention) 2. TachycardiaPHARMACY CATEGORY: Anticholinergic Agent, Ophthalmic; Ophthalmic Agent, Consideration: Generic: FlumazenilBrand: RomaziconSelected Adverse Effects: 1. Vomiting 2. Tremor 3. PHARMACY CATEGORY: AntidoteConsideration: May precipitate seizures in patients who have been on long-term benzodiazepine therapy Generic: LeucovorinBrand: Selected Adverse Effects: 1. GI side (nausea/vomiting/diarrhea) 2. FatiguePHARMACY CATEGORY: AntidoteConsideration: Generic: NaloxoneBrand: NarcanSelected Adverse Effects: 1. Dizziness 2. Flushing 3. Injection site reactions 4. Nausea/vomitingPHARMACY CATEGORY: Antidote; Opioid AntagonistConsideration: Because naloxone has a short half-life, it may need to be multiple times until
opioid wears off Generic: OctreotideBrand: SandostatinSelected Adverse Effects: 1. Abdominal pain, diarrhea, flatulence, 2. HyperglycemiaPHARMACY CATEGORY: Antidiarrheal; ; Somatostatin AnalogConsideration: Generic: Zoledronic Brand: Reclast; Selected Adverse Effects: 1. Bone pain 2. Arthralgia 3. HypotensionPHARMACY CATEGORY: Bisphosphonate DerivativeConsideration: Administer through a separate IV line. Do not mix with any calcium or divalent cation containing
solutions. Generic: DexamethasoneBrand: DecadronSelected Adverse Effects: 1. Fluid retention 2. Fragile skin 3. 4. Hypertension 5. Mood changesPHARMACY CATEGORY: Anti-inflammatory Agent; Antiemetic; , Consideration: Generic: HydrocortisoneBrand: Solu-CortefSelected Adverse Effects: 1. Fluid retention 2. Fragile skin 3. Hyperglycemia 4. Hypertension 5. Mood changesPHARMACY CATEGORY: Consideration: Generic: sodium succinateBrand: Solu-MedrolSelected Adverse Effects: 1. Fluid retention 2. Fragile skin 3. 4. Hypertension 5. Mood changesPHARMACY CATEGORY: CorticosteroidConsideration: Generic: DiphenhydramineBrand: Selected Adverse Effects: 1. Sedation 2. Anticholinergic effects (e.g., retention, dry mouth)PHARMACY CATEGORY: Histamine H1 Antagonist, First GenerationConsideration: Diphenhydramine injection can cause local skin necrosis and should never be given
subcutaneous or intradermal. For IM injections, make sure they are given deep IM. Generic: PromethazineBrand: PhenerganSelected Adverse Effects: 1. Bradycardia 2. Sedation 3. PhlebitisPHARMACY CATEGORY: Histamine H1 Antagonist, First GenerationConsideration: ISMP High-alert medication
Vesicant, can cause severe tissue damage/necrosis. Should not be administered IM or IV push.
Should be diluted and administered slowly as an IV intermittent infusion or via a central line to
avoid . Generic: RanitidineBrand: ZantacSelected Adverse Effects: 1. Constipation 2.Diarrhea 3. NauseaPHARMACY CATEGORY: H2 AntagonistConsideration: Generic: OndansetronBrand: ZofranSelected Adverse Effects: 1. 2. Diarrhea 3. HeadachePHARMACY CATEGORY: 5-HT3 Receptor AntagonistConsideration: Generic: Brand: ProtonixSelected Adverse Effects: 1. Constipation 2. Diarrhea 3. HeadachePHARMACY CATEGORY: PPIConsideration: Generic: InfliximabBrand: RemicadeSelected Adverse Effects: 1. Infusion-related reactions (e.g., , fever, rigors, myalgias, headache, cough) 2. Upper
respiratory tract infectionPHARMACY CATEGORY: Agent, TNF-alphaConsideration: ISMP High-alert medication
Short-stability medication - use within 3 h and use in-line ≤1.2 micron low protein binding filter. not infuse or mix with other solutions . May require
premedications prior to infusion to decrease infusion-related reactions. Generic: RituximabBrand: RituxanSelected Adverse Effects: 1. Infusion-related reactions (e.g., chills, fever, rigors, , headache, cough) 2. FatiguePHARMACY CATEGORY: Agent; Monoclonal AntibodyConsideration: ISMP High-alert medication
Patients should be premedicated prior to infusion and infusions should be titrated upwards to
decrease infusion-related reactions. Generic: OxytocinBrand: PitocinSelected Adverse Effects: 1. Headache 2. Nausea, vomitingPHARMACY CATEGORY: AgentConsideration: ISMP High-alert medication
NIOSH recommends using double gloves and wearing protective gown when preparing
solutions. Many institutions develop an infusion protocol in order to improve maternalfetal safety and reduce medication errors. |
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