Contra-indications

Question 1

Glyceral Trinatrate

Answer 1

Aortic Stenosis, Mitral Stenosis, Cardiac Tamponade, constricitve pericarditis, cardiomyopathy, hypotension, marked anaemia, raised ICP due to intracranial haemorrhage, toxic pulmomary oedema.

Question 2

Diamorphine

Answer 2

Delayed gastric emptying

Question 3

Opiods

Answer 3

Acute respiratoy depression, comatose patients, head injury (due to pupillary response), raised ICP, risk of paralytic ileus

Question 4

Metoclopramide

Answer 4

3-4 days after GI surgery, GI haemorrage, GI obstruction, GI perfoation, phaeochromocytoma.