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instead of neostigmine; mivicurium instead of midazolam; atracurium instead of atropine; epinephrine instead of naloxone; epinephrine instead of ephedrine; and metoclopramide instead of neostigmine.
What can you do to prevent potentially devastating consequences when managing essential but dangerous medications (see "Anesthesia's 7 Deadly Drugs")? Insulin, for example, is typically stored in an OR refrigerator, away from commonly used drugs. Many facilities also have protocols in place requiring that 2 caregivers confirm the accuracy of insulin doses before injection.
However, other high-alert medications are often mixed in with the general drug population. One hospital I work at stores ampoules of isoproterenol in the
