List of High Alert Medication 2015

LIST OF HIGH ALERT MEDICATION (HAM) IN
HOSPITAL JERANTUT 2015
Classes of High Alert Medication
 IV Adrenaline 1mg/ml
Adrenergic agonist, IV
 IV Noradrenaline 4mg/4ml
 IV Labetalol 5mg/ml
Adrenergic antagonist, IV
NA
Anaesthetic agent (General, Inhaled,

IV)
Antiarrythmias, IV

Antifibrinolytics, hemostatic
Antithrombotic agents

Antivenom

Chemotherapeutic agent (Parenteral,
Oral)
Dextrose, Hypertonic, 20% or greater
Epidural and intrathecal medications
Glyceryl Trinitrate , IV
Inotropic medication, IV

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IV Adenosine 6mg/2ml
IV Amiodarone 150mg/3ml
IV Lignocaine 100mg/5ml
IV Verapamil 2.5mg/ml
IV Phytomenadione (Vit. K) 1mg/ml
IV Phytomenadione (Vit. K) 10mg/ml
IV Tranexamic acid 500mg/5ml
S/C Enoxaparin 6000u/0.6ml (60mg)
S/C Enoxaparin4000u/0.4ml (40mg)
S/C Fondaparinux 2.5mg/0.5ml
Heparin 5000 U/mL
Streptokinase 1500,000U
Tablet Warfarin 1mg/2mg/3mg/5mg
S/C Tizaparin 3500u/0.35ml
S/C Tizaparin 4500u/0.45ml
Cobra antivenom
Malayan Pit Viper Antivenin
Snake venom antiserum
Hemato Polyvalent Snale Antivenin
NA

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Dextrose 50%, 10ml
Bupivacaine 0.5% w/w (5mg/20ml)
IV Isosorbide dinitrate 10mg/10ml
IV Dopamine 40mg/ml

Insulin, Subcutaneous, IV
(No HAM labeling needed for insulin
supplied to patient)

Hypoglycemics, oral

Magnesium Sulphate, IV
Moderate sedation agent, IV
Neuromuscular blocking agents, IV
Opiates and narcotics

Parenteral nutrition preparation
Potassium salt, IV
Sodium chloride solution (> 0.9%)
Miscellaneous

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IV Dobutamine 250mg/20ml
IV Digoxin 0.5mg/2ml
Insulin Actrapid / Insumen Rapid
Insulin Insulatard / Insumen Basal
Insulin Mixtard / Insumen Comb 30
Insulin Novorapid
Insulin Lantus
Insulin Novomix
Tablet Metformin 500mg
Tablet Gliclazide 80mg
Tablet Gliclazide MR 30mg
Tablet Glibenclamide 5mg
Tablet Acarbose 50mg

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IV Magnesium sulphate 2.47g/5ml
IV Diazepam 10mg/2ml
IV Midazolam 15mg/3ml
IV Phenobarbitone 200mg/mL
IV Suxamethonium 100mg/2ml
IV Fentanyl 0.1mg/2mL
IV Pethidine 50mg/ml
IV Morphine 10mg/ml
IV Tramadol 50mg
Tablet Dihydrocodeine 30mg
Tablet Tramadol 50mg
Morphine solution 2mg/ml
NA
IV Potassium Chloride 10% w/v
IV Potassium Dihydrogen Phosphate
Sodium Chloride 3% (NS 3%)
IV Atropine 1mg/ml
IV Calcium Gluconate 10% (1g/10ml)
IV Sodium Bicarbonate 8.4%
(1mmol/ml)
IV Oxytoxin 10U/ml

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 IV Synthometrine (Oxytoxine 5U+
ergometrine 0.5mg/ml)
 Tablet Methotrexate 2.5mg
 Tablet Azathioprine 50mg
 Tablet Cyclophosphamide 50mg
Prepared by:
Farmasi Bekalan Wad
(June 2015)

*Note*
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All staffs are required to ensure that all HAM medications received and kept in

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respectively unit have been labeled with red sticker “HAM”
Please do request red sticker “HAM” from Inpatient Pharmacy Unit when in need.
Please ensure that each HAM medication kept separately from each other in

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different HAM-labeled container.