According to the Institute for Safe Medication Practices (ISMP), IV propranolol is considered a high-alert medication in acute care settings because it is a(n):

Rationale

Adrenergic antagonist

According to the Institute for Safe Medication Practices (ISMP), IV propranolol is considered a high-alert medication in acute care settings because it is an adrenergic antagonist (beta-blocker) that can cause severe cardiovascular effects if administered inappropriately. IV administration carries a higher risk of bradycardia, hypotension, and cardiac arrest, making careful dosing and monitoring essential.

A (adrenergic antagonist) CORRECT

This is correct. Propranolol blocks beta-adrenergic receptors, and intravenous use in hospitalized patients is high-alert due to the risk of significant hemodynamic instability.

B (chemotherapeutic agent) YOUR ANSWER

This is incorrect. While chemotherapeutic agents are high-alert, propranolol is not a chemotherapy drug.

C (opioid) YOUR ANSWER

This is incorrect. Propranolol is not an opioid; opioids are a separate high-alert class.

D (anticoagulant) YOUR ANSWER

This is incorrect. Propranolol is not an anticoagulant; anticoagulants are high-alert for bleeding risk, which is unrelated to propranolol’s mechanism.

Conclusion

IV propranolol is high-alert in acute care because it is an adrenergic antagonist with potent cardiovascular effects. Careful monitoring, correct dosing, and proper administration protocols are critical to prevent severe adverse events.

According to the Institute for Safe Medication Practices (ISMP), IV propranolol is considered a high-alert medication in acute care settings because it is a(n):

Adrenergic antagonist

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