Critical drugs list- Drugs that should never be omitted or ...



Alteplase (INJ)

EDR, CRCC, CRCS, ACU, CRCN

|Dabigatran (Oral)

ACU, 5BN, 5BS, Theatre Recovery

|Lamotrigine (Oral)

Pharmacy |Prednisolone (Oral)

Stock on all wards | |

|Amantadine (Oral) |Dalteparin (INJ) |Levetiracetam |Rivaroxaban (Oral) |

|Pharmacy |2500 & 5000 UNITS most wards |E/C, AMU (Oral) E/C (Infusion) |E/C |

| |Higher strengths 6AN, AMBL, 8BASCU, 8B, 11AN, SSMAU or ACU | | |

|Antibiotics, Antivirals & Antifungals |Diazepam (INJ) |Lorazepam (IV) |Rivastigmine (Patches and Oral) |

|Liaise with duty matron to source supply of |Stock on most wards |CRCC, CRCS, BBEL, ACCP, SSMAU, AMU, 11AN, 9BN, 9AN|Pharmacy |

|individual drugs | | | |

|Apomorphine (INJ) |Digifab® (Infusion) |Methylthioninium chloride (INJ) |Resus medication |

|Pharmacy |Pharmacy |Theatres , Delivery suite, DSU |Available in cardiac arrest boxes |

|Apixaban (Oral) |Entacapone (Oral) |Methylprednisolone |Phenytoin (oral) |

|ACU |Pharmacy |Theatre recovery, CRCC, CRCS, 6B (INJ) Pharmacy |AMU, 11AN, Barley |

| | |(Oral) | |

|Azathioprine (Oral) |Epoprostenol (Infusion) |Morphine; fentanyl; oxycodone |Ropinirole (Oral) |

|6B |CRCN, CRCC, CRCS |Refer to CD SOP for out of hours |Pharmacy |

|Bromocriptine (Oral) |Fondaparinux (INJ) |Mycophenolate (Oral) |Selegiline (Oral) |

|Pharmacy |A&E, AAU, SSU, BAR, PIRT, CRCN, CRCC, CRCS, 6AN, 8BASCU, 9AN |6B, Pharmacy |Pharmacy |

|Calcium folinate |Flumazenil (INJ) |Naloxone |Sirolimus (Oral) |

|LMCC (INJ) E/C (Oral) |Stocked on most wards |Stock on most wards |Pharmacy |

|Calcium Resonium (Powder) |Gabapentin (Oral) |Orphenadrine (Oral) |Sodium Valproate (INJ) |

|6B, BAR |100mg – SSMAU, 5A, AMU, 11A |Pharmacy |E/C, CRCN, CRCC, CRCS |

| |300mg – 11AN, 11AS, AMU | | |

|Carbamazepine (Oral) |Glucagon (INJ) |Pergolide (Oral) |Tacrolimus (Oral) |

|AMUD, AMU, BAR |Stock on most wards |Pharmacy |Prograf® 500micrograms (E/C) 1mg (6B) 5mg (Pharmacy) |

| | | |Advagraf® 1mg M/R (6B) 3mg & 5mg (Pharmacy) |

|Ciclosporin (Neoral® Deximune®) (Oral) |Heparin sodium (10,000 UNITS/10mL) (Infusion/ INJ) |Phenytoin (oral) |Ticagrelor (Oral) |

|Neoral® 6B Deximune® 8A, 6AN |A&E, 8B, 11AN, SSU, AAU, CRCN, CRCC, CRCS, 9AN, 9BN Bluebell , |AMU, 11AN, Barley |Pharmacy |

| |Pirton, Barley | | |

|Clopidogrel (Oral) |Hydrocortisone (INJ) |Phenytoin (INJ) |Topiramate (Oral) |

|6AN, 11A, CRCN, 9A, PIRT, BAR, 9BN, 8B, ACU, AMU, |DSU, 5BN, 5BS |ACCP, AMU, CRCS, CRCC, NICU, Bluebell, 11AN, PIRT,|Pharmacy |

|6B, CRCC | |CRCN, SSMAU | |

|Co-Beneldopa (Madopar®) (Oral) |Hydrocortisone (Oral) |Phytomenadione (Vitamin K) (INJ) |Vigabatrin (Oral) |

|AMU, Pharmacy |6B, Pharmacy |Stock on most wards |Pharmacy |

|Co-Careldopa (Sinemet®) (Oral) |Immunoglobulins |Pramipexole (Oral) |Warfarin (Oral) |

|SSMAU, AMU |Pharmacy |Pharmacy |Stock on most wards |

| |Insulin |Prasugrel (Oral) | |

| |Pharmacy site on the knowledge centre and search for insulin, location |ACU, Cardiac suites | |

| |will be displayed. | | |

Where to find drugs on the Critical Drugs List - Drugs that should never be omitted or delayed

The list below is not exhaustive. Clinical staff must apply judgement and take advice on how quickly a drug must be obtained and administered - refer to the Trust policy for reducing harm from omitted and delayed medicines. Contact the doctor urgently if the current prescribed route is unavailable e.g. If the patient is NBM or if a new Cannula is needed. To borrow a drug from a different ward out of hours, follow the Trust policy. For ‘E/C’ contact the duty matron.

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E&N Herts Pharmacy Dept Jan 2013. CRCN-Critical Care North; CRCS- Critical Care South; CRCC- Critical Care Central

E&N Herts Pharmacy Dept December 2014 – CRCN- Critical Care North; CRCS- Critical Care South; CRCC- Critical Care Central; E/C – Emergency Drug Cupboard

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