Which of the following is a “high-alert” drug meaning, they can cause significant harm when used in error?
  1. Amiodorone, intravenous
  2. Tricalcium phosphate, PO
  3. Fentenyl, transdermal
  4. Gabapentin, PO
Explanation
Answer - A - Of the agents listed, amiodarone IV has significant potential for harm.

Amiodarone injection is used to treat life-threatening heart rhythm problems called ventricular arrhythmias. 

In the US, it can be sold under the brand name Cordarone IV.

Amiodarone is typically used in patients who have already been treated with other cardiac medicines that did not work well.

Amiodarone injection belongs to the group of medicines known as antiarrhythmics. It works directly on the heart tissue and will slow the nerve impulses in the heart. This helps keep the heart rhythm regular but can cause great harm if misused.

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