Which pair of drugs is a well-known look-alike, sound-alike pair?
- Sertraline and omeprazole
- Warfarin and furosemide
- Metformin and lisinopril
- Bupropion and buspirone
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D. Bupropion and buspirone
Bupropion (an antidepressant) and buspirone (an anti-anxiety drug) have similar names and overlapping strengths, so they appear on confused-name lists as buPROPion and busPIRone. The other pairs do not look or sound alike.
Reference: ISMP List of Confused Drug Names
Which of these is classified as a high-alert medication?
- Heparin injection
- Omeprazole capsules
- Amoxicillin capsules
- Loratadine tablets
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A. Heparin injection
Anticoagulants such as heparin are high-alert because a dosing error can cause life-threatening bleeding. Insulin, opioids, chemotherapy and concentrated electrolytes are other examples. The other choices have wide safety margins.
Reference: ISMP List of High-Alert Medications
Which abbreviation is on The Joint Commission's "Do Not Use" list?
- mL
- mg
- U
- PO
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C. U
"U" for unit can be read as a zero, a four or "cc", causing tenfold overdoses, so the word "unit" is written out. mL, mg and PO are standard and acceptable.
Reference: The Joint Commission Official "Do Not Use" List