Contraindications Flashcards
1
Q
Adrenaline
A
- Hypovolaemic shock without adequate fluid replacement
2
Q
Aspirin
A
- Hypersensitivity to aspirin
- Active bleeding peptic ulcers
- Bleeding disorders
- Suspected dissecting aortic aneurysm
- Chest pain associated with psychostimulant overdose if SBP >160
3
Q
Ceftriaxone
A
Allergy to cephalosporin antibiotics
4
Q
Diazepam
A
- Known allergy or adverse drug reaction to benzodiazepines
2. Myasthenia gravis (A weakness and rapid fatigue of muscles under voluntary control.)
5
Q
Droperidol
A
- Known allergy or adverse drug reaction
- Parkinson’s Disease
- Previous dystonic reaction to droperidol
- Patients <8 years
6
Q
Fentanyl
A
- Active labour
- Epistaxis (IN)
- Children <1 year old
- Known hypersensitivity
7
Q
Glyceryl Trinitrate
A
- Known hypersensitivity
- SBP <100mmHg (120mmHg IV)
- HR <50
- HR >150
- VT
- Right Sided Infarct (Inferior leads II, III, avF)
- Hypersensitivity to GTN
- Viagra or Levitra 24hrs, Cialis 4 days (PDE5 inhibitors)
8
Q
Lignocaine Hydrochloride
A
- Known Hypersensitivity
- Bradycardia with inadequate perfusion
- Evidence of 2º or 3º heart block
9
Q
Methoxyflurane
A
- Pre-existing renal disease/renal impairment
- Concurrent use of tetracycline antibiotics
- Exceeding total dose of 6mL in 24hr period
- Exceeding total dose of 15mL in 7 days
- Family history of anaesthetic induced malignant hyperthermia
10
Q
Metoclopramide
A
- GIT haemorrhage, obstruction or perforation
- Known hypersensitivity or intolerance
- <16 years of age
11
Q
Midazolam
A
Known hypersensitivity
12
Q
Moprhine
A
- Known hypersensitivity
2. Labour
13
Q
Ondansetron
A
- Known hypersensitivity
2. Children <2 years old
14
Q
Oxygen
A
- Known paraquat poisoning
2. Lung disease secondary to bleomycin therapy
15
Q
Paracetamol
A
- Known hypersensitivity
- Children <1 month of age
- Paracetemol already administered within 4 hours
- Total paracetamol intake within past 24hr exceeds 4g (adult) or 60mg/kg (paediatric)
- Chest pain in suspected ACS
