Contraindications Flashcards

1
Q

GlycerylTrinitrate

A
  1. Viagra or Levitra in 24 hours or Cialis in 4 days
  2. Hypersensitivity
  3. Right Ventricular Myocardial Infarction
  4. Inferior STEMI with SBP <160
  5. Ventricular Tachycardia
  6. Systolic BP <90 Patch
  7. Systolic BP <110 Tablet
  8. Heart Rate below 50
  9. Heart Rate above 150
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2
Q

Methoxyflurane

A
  1. Family history of malignant hypothermia
  2. Pre-existing renal impairment/failure
  3. Concurrent use of tetracycline antibiotics
  4. Muscular dystrophy
  5. Exceeding total dose of 6mL in a 24 hour period
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3
Q

Ondansetron

A
  1. Long Q-T syndrome
  2. Known hypersensitivity
  3. Concurrent Apomorpine use
  4. Hypokalaemia or Hypomagnesaemia
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4
Q

Morphine

A
  1. Late second stage labour
  2. Hypersensitivity
  3. Renal impairment or failure
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5
Q

Fentanyl

A
  1. Late second stage labour

2. Hypersensitivity

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6
Q

Aspirin

A
  1. Actively bleeding peptic ulcers
  2. Bleeding disorders
  3. Known hypersensitivity to salicylates
  4. Psycho-stimulant overdose with a systolic blood pressure >160
  5. Suspected dissecting aortic aneurysm
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7
Q

Midazolam

A
  1. Known hypersensitivity to benzodiazepines
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8
Q

Ketamine

A
  1. Suspected non-traumatic brain injury with severe HTN (SBP> 180)
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9
Q

Paracetamol

A
  1. Hypersensitivity to paracetamol
  2. Children <1 month of age
  3. Already administered within past 4 hours
  4. Total intake within past 24 hours exceeding 4g for adults of 60mg/kg for children
  5. Chest pain in suspected ACS
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10
Q

Adrenaline

A
  1. Hypovolaemic shock without adequate fluid replacement
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11
Q

Salbutamol

A
  1. NIL of significance
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12
Q

Ipratropium Bromide

A
  1. Known hypersensitivity to atropine or its derivatives
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13
Q

Dexamethasone

A
  1. Known hypersensitivity
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14
Q

Ceftriaxone

A
  1. Allergy to cephalosporin antibiotics
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15
Q

Dextrose 10%

A
  1. NIL of significance
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16
Q

Glucagon

A
  1. NIL of significance
17
Q

Lignocaine

A
  1. Known hypersensitivity to lidocaine or related local anaesthetics
18
Q

Naloxone

A
  1. NIL of significance
19
Q

Olanzipine

A
  1. NIL
20
Q

Stemetil

A
  1. Circulatory collapse (cool, pale, clammy skin, tachycardia, hypotension)
  2. CNS depression
  3. Previous hypersensitivity
  4. Patients <21 years of age
  5. Pregnancy