According to the Institute for Safe Medication Practices (ISMP), which of the following is considered a high-alert medication?

Rationale

Lidocaine

According to the Institute for Safe Medication Practices (ISMP), lidocaine is considered a high-alert medication, particularly in certain formulations such as injectable or intravenous use. High-alert medications are those that have a higher risk of causing significant patient harm if used incorrectly. Lidocaine can cause serious adverse effects, including cardiac arrhythmias and central nervous system toxicity, if improperly dosed or administered.

A (Lisinopril) YOUR ANSWER

This is incorrect. Lisinopril, an ACE inhibitor used for hypertension, is not classified as a high-alert medication because errors are less likely to result in immediate severe harm.

B (Lidocaine) CORRECT

This is correct. Lidocaine, especially in injectable forms, is recognized by ISMP as high-alert due to its potential for serious toxicity if misused.

C (Latanoprost) YOUR ANSWER

This is incorrect. Latanoprost is an ophthalmic medication used for glaucoma and is not considered high-alert.

D (Lamotrigine) YOUR ANSWER

This is incorrect. Although lamotrigine requires careful titration, it is not categorized as a high-alert medication by ISMP.

Conclusion

High-alert medications require extra precautions due to their potential for serious harm. Among the options, lidocaine is identified by ISMP as high-alert, particularly in settings where dosing and administration errors can have severe consequences.

According to the Institute for Safe Medication Practices (ISMP), which of the following is considered a high-alert medication?

Lidocaine

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