Difficulty: Hard

Average Score: 37%

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

Rationale

Potassium chloride IV concentrate

According to the Institute for Safe Medication Practices (ISMP), potassium chloride IV concentrate is considered a high-alert/high-risk medication. Errors involving this medication can be fatal, especially if administered incorrectly or without proper dilution, as it can cause severe cardiac arrhythmias or cardiac arrest.

A (Acetaminophen extra strength caplets) YOUR ANSWER

This is incorrect. Although overdose can cause liver toxicity, acetaminophen is not classified by ISMP as a high-alert medication in standard use.

B (Furosemide oral tablets) YOUR ANSWER

This is incorrect. While furosemide affects fluid and electrolyte balance, it is not considered a high-alert medication in oral form.

C (Ceftriaxone sodium for injection) YOUR ANSWER

This is incorrect. Although it is an injectable antibiotic, it is not categorized as a high-alert medication by ISMP.

D (Potassium chloride IV concentrate) CORRECT

This is correct. ISMP specifically identifies potassium chloride IV concentrate as high-alert due to its high risk of causing serious or fatal outcomes if used improperly.

Conclusion

High-alert medications require special precautions because of their potential for severe harm. Potassium chloride IV concentrate is a well-known ISMP high-alert medication due to the life-threatening consequences of dosing or administration errors.

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