Contraindications Flashcards

1
Q

Acetaminophen

A

Hypersensitivity
Hepatic disease
Acute liver injury
Acetaminophen induced liver injury

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2
Q

ASA

A

Hypersensitivity
Active bleed of any kind
Bronchospasm / resp reaction
Pediatric viral illness (Reyes syndrome)

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3
Q

Adenosine

A

Hypersensitivity
2nd or 3rd degree AV block
Sick sinus syndrome without pacemaker

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4
Q

Amiodarone

A

Hypersensitivity
Cardiogenic shock
2nd or 3rd degree AV block
Symptomatic sinus bradycardia

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5
Q

Atropine

A

Hypersensitivity
Tachycardia
Narrow angle glaucoma
Thyrotoxicosis
Myasthenia gravis
Prostate hypertrophy

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6
Q

Calcium Chloride

A

Hypersensitivity
Hypercalcemia

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7
Q

Dextrose

A

None

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8
Q

Dimenhydrinate

A

Hypersensitivity to caffeine derivatives

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9
Q

Dimenhydramine

A

Hypersensitivity
Neonates
Premature infants

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10
Q

Epinephrine

A

None in emergency settings

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11
Q

Fentanyl

A

Hypersensitivity
Myasthenia gravis
Pre existing respiratory depression
Acute asthma
Upper airway obstruction

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12
Q

Glucagon

A

Hypersensitivity
Pheochromocytoma

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13
Q

Ibuprofen

A

Hypersensitivity
Active GI hemorrhage / ulcers
Pregnancy

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14
Q

Ketamine

A

Hypersensitivity
Inability to handle adverse effects
Conditions where HTN is harmful
Age < 6 months

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15
Q

Lidocaine

A

Hypersensitivity
3rd degree AV block
Ventricular escape rhythm
Wolfe Parkinson white

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16
Q

Magnesium sulfate

A

Hypersensitivity
2nd or 3rd degree AV block

17
Q

Ipratropium bromide

A

Hypersensitivity to components

18
Q

Midazolam

A

Hypersensitivity
Hypotension
Shock
Acute narrow angle glaucoma
Decreased LOC

19
Q

Morphine

A

Hypersensitivity to opioid

20
Q

Nalaxone

A

Hypersensitivity
Neonates

21
Q

Nitroglycerin

A

Hypersensitivity
Levitra / viagra in 24hrs
Cialis in 48hrs
Severe anemia
Pericarditis
Pericardial tamponade
Right side MI
Hypotension

22
Q

Nitrous oxide

A

Unable to self administer
Pneumothorax
Air embolism / decompression sickness
Bullous emphysema
Abdominal distension
Inhalation injury
Nitro administration in last 5 mins

23
Q

Phenylephrine

A

Hypersensitivity
Hypersensitivity to sulphites
Hypertension
Ventricular tachycardia
Pheochromocytoma

24
Q

Salbutamol

A

Hypersensitivity
Hemodynamically significant tachycardia

25
Q

Sodium bicarbonate

A

Metabolic alkalosis
Excessive vomit (loss of chloride)

26
Q

Tranexamic acid

A

Hypersensitivity
GI hemorrhage
Time since injury >3 hours
Age <1 year

27
Q

6 rights of drug administration

A

right medication
Right patient
Right time
Right dose
Right route
Right documentation