Contraindications Flashcards
Paracetamol Contraindication’s
Children under 1 month of age
Ketamine 1 Contraindication
Suspected non-traumatic brain injury with severe hypertension (SBP>180)
Morphine 3 Contraindication’s
3
1. Hypersensitivity
2. Renal impairment / failure
3. Late second stage of labour
Fentanyl 3 Contraindication’s
3
1.Late second stage of labour
2. Serotonin syndrome
3. monoamine oxidase inhibitors (MAOIs) within last 14 days
Methoxyflurane Contraindication’s
- Pre existing renal disease / renal impairment
- Known personal or family history of malignant hyperthermia
Aspirin Contraindication’s
5
1. Hypersensitivity to aspirin / salicylates
2. Actively bleeding peptic ulcers
3. Bleeding disorders
4. Suspected dissecting aortic aneurysm
5.Chest pain associated with psychostimulant OD if SBP > 160
Glyceryl Trinitrate GTN Contraindication’s
- PDE5 Sildenafil Citrate (Viagra) or Vardenafil (Levitra) administration in the last 24 hours or Tadalafil (Cialis) administration in the last 4 days
- HR > 150
- HR < 50 (excluding autonomic dysreflexia)
- VT
- Riociguat (current use)
- BP <100
- Bleeding in pregnancy
Heparin Contraindication’s
7
1. Known allergy or hypersensitivity
2. Active bleeding
3. Oral anticoagulants
4. Bleeding disorders
5. history of Heparin Induced Thrombocytopaenia (HIT)
6. Severe Hepatic impairment / disease inc oesophageal varicies
7. Recent trauma or surgery (< 3 weeks)
Ventolin 1 Contraindication
Nil of significance in the above indications
Ipratropium Bromide Contraindication’s
Known hypersensitivity to Atropine or its derivatives
Dexamethosone Contraindication’s
Known Hypersensitivity
Na Saline Contraindication’s
Nil of significance to the above indication
Olanzapine Contraindication’s
Nil
Midazolam 1 Contraindication
Known hypersensitivity to benzodiazepines.
Adrenaline Contraindication’s
Hypovolaemic shock without adequate fluid replacement
Ondansetron 1 Contraindication
- Concurrent Apomorphine use
Prochloperazine 2 Contraindication’s
- CNS depression
- Patients < 21 years old
Naloxone Contraindication’s
Nil of significance in the above indications
Oxytocin Contraindication’s
None, provided all babies are delivered prior to administration
Ceftriaxone Contraindication’s
-Allergy to cephalosporin antibiotics
- preterm neonates (<41 weeks corrected)
