PTCB Certified Pharmacy Technician (PTCE)Patient Safety and Quality AssuranceEasy
Which of the following medications is classified as a 'high-alert medication' and requires extra precautions during dispensing?
- AHydrochlorothiazide
- BAmoxicillin
- CIbuprofen
- DInsulin
Show answer & explanationAnswer & explanation
Correct answer: D. Insulin
Insulin is a well-known high-alert medication because errors in dosing (too much or too little) can lead to severe hypoglycemia or hyperglycemia, which can be life-threatening. Special protocols are often in place for its handling and dispensing.
Why the other options are wrong
- A. Hydrochlorothiazide is a diuretic, not typically classified as high-alert.
- B. Amoxicillin is a common antibiotic, generally not considered a high-alert medication.
- C. Ibuprofen is an over-the-counter NSAID, not considered a high-alert medication.
High-Alert Medications
Drugs that bear a heightened risk of causing significant patient harm when used in error.
- Errors with these drugs are not necessarily more common, but the consequences are more devastating.
- Examples include insulin, anticoagulants, opioids, chemotherapy, and concentrated electrolytes.
- Require special safeguards like independent double-checks, standardized ordering, and specific storage.
Memory trick: HIGH risk, HIGH harm, HIGH caution.