Meddex guides

Medication safety for the DHA exam: high-alert drugs, errors and what to remember

Revision guides6 min read

By Meddex editorial team6 min readClinical revision

Short answer: Learn the high-alert medicines (insulin, heparin, concentrated potassium and opioids), their antidotes, the common adverse effects of major drug classes, and the checks that prevent errors: right patient, drug, dose, route and time, independent double-checks and clear documentation.

The checks that prevent errors

Use two patient identifiers, check the right drug, dose, route and time, and document immediately after giving. Independent double-checks are standard for high-alert drugs.

High-alert medicines

These carry a higher risk of serious harm when misused.

  • Insulin: monitor glucose and watch for hypoglycaemia.
  • Heparin and other anticoagulants: monitor clotting and bleeding.
  • Concentrated potassium: never give as a bolus.
  • Opioids: monitor sedation and respiratory rate.

Antidotes to know

Vitamin K for warfarin, protamine for heparin, naloxone for opioids, flumazenil for benzodiazepines, N-acetylcysteine for paracetamol and atropine for organophosphates.

Adverse effects worth remembering

ACE inhibitors cause a dry cough, aminoglycosides risk kidney and ear damage, loop diuretics lower potassium, statins can cause muscle problems and NSAIDs risk stomach bleeding.

When something looks wrong

Stop, check, and ask. If you make an error, assess the patient first, inform the prescriber and report openly.

Related guide

For deeper guides on one angle each, see high-alert medications and look-alike drugs and the five rights in exam questions.

Frequently asked questions

This article is general educational guidance, not official advice. Exam rules, fees and timelines are set by the Dubai Health Authority and the test provider and can change, so always confirm the latest details on their official channels.

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