Contraindications

Question 1

Contraindications Oxygen

Answer 1

None

Question 2

Contraindications Valium (Diazepam)

Answer 2

Known hypersensitivity, shock, coma, acute alcohol intoxication

Question 3

Contraindications Ativan (lorazepam)

Answer 3

Hypersensitivity to benzodiazepines, acute narrow-angle glaucoma, coma, shock, acute alcohol inotoxication

Question 4

Contraindications Midazolam

Answer 4

Hypersensitivity to benzodiazepines, acute narrow-angle glaucoma, coma, shock, acute alcohol inotoxication

Question 5

Contraindications Succinylcholine

Answer 5

Acute narrow angle glaucoma, penetrating eye injuries, family
history of malignant hyperthermia, hyperkalemia, 24 - 48 hours
post severe trauma including burns, disorder of
pseudocholinesterase, neuromuscular disorders such as
myasthenia gravis or ALS

Question 6

Contraindications Epinephrine (Adrenalin)

Answer 6

hypersensitivity to sympathomimetic amines

Question 7

Contraindications Vasopressin (Pitressin)

Answer 7

Chronic Nephritis, ischemic heart disease, PVC’s, first stage of labor

Question 8

Contraindications Lidocaine

Answer 8

Hypersensitivity
Supraventricular Dysrhythmias
Untreated sinus bradycardia
2nd Degree mobitz II AV block
3rd Degree AV block
Stokes-Adams syndrome

Question 9

Contraindications Amiodarone

Answer 9

Hypersensitivity, Cardiogenic shock, severe sinus bradycardia, AV Block

Question 10

Contraindications Atropine Sulfate

Answer 10

None in the emergency setting

Question 11

Contraindications Adenosine

Answer 11

2nd and 3rd degree AV heart blocks, Symptomatic bradycardia, sick sinus syndrome, hypersensitivity

Question 12

Contraindications Diltiazem (cardizem)

Answer 12

Hypersensitivity, Sick sinus Syndrome, 2nd and 3rd degree AV block, hypotension, WPW, Wide complex tachycardia

Question 13

Contraindications Metoprolol (lopressor, Toprol-XL)

Answer 13

Hypersensitivity, sinus bradycardia, heart block greater than 1st degree (except in patients with a functioning artificial pacemeker) cardiogenic shock (BP<100mmHg) uncompensated cardiac failure, pregnancy (2nd and 3rd trimester) asthma, COPD

Question 14

Contraindications Dopamine (Intropin)

Answer 14

Pheochromocytoma, tachydysrhythmias, Ventricular fibrilation

Question 15

Contraindications Dobutamine (Dobyutrex)

Answer 15

Hypersensitivity, Ventricular Tachycardia

Question 16

Contraindications Aspirin

Answer 16

Hypersensitivity

Question 17

Contraindications NTG

Answer 17

Hypersentivity, Head Trauma, Pt’s in shock, (systolic BP s with increased ICP

Question 18

Contraindications Sodium Bicarbonate

Answer 18

None in the emergency setting

Question 19

Contraindications Magnesium Sulfate

Answer 19

Do not administer to any patient with heart block, shock , persistent hypertension, hypocalcemia, or myocardial damage.

Question 20

Contraindications Oxytocin

Answer 20

Hypersensitivity and prior to delivery of the fetus. Administration prior to deliver may cause fetal hypoxia, asphyxia, and dysrhythmias

Question 21

Contraindications Albuterol

Answer 21

Hypersensitivity

Question 22

Contraindications Ipatropium bromide (Atrovent)

Answer 22

Hypersensitivity to ipatropium, atropine, soya lecithin and peanut oil

Question 23

Contraindications methylprednisolone (Solu-Medrol)

Answer 23

None in the management of anaphylaxis

Question 24

Contraindications 50% Dextrose in water (D50W or D50)

Answer 24

None in a patient with documented hypoglycemia

Question 25

Contraindications Glucagon (glucagen)

Answer 25

known hypersensitivity

Question 26

Contraindications Diphenhydramine (Benedryl)

Answer 26

Hypersensitivity, newborns and nursing mothers

Question 27

Contraindications Haloperidol (Haldol)

Answer 27

Hypersensitivity, children, alcohol intoxication, coma

Question 28

Contraindications Naloxone (Narcan)

Answer 28

Known Hypersensitivity

Question 29

Contraindications Furosemide (Lasix)

Answer 29

Hypersensitivity, hypotension, dehydration and electorlyte depletion

Question 30

Contraindications Hydroxocobolamin (CyanoKit)

Answer 30

Hypersensitivity to any component of the medication(including cobalt)

Question 31

Contraindications Calcium Chloride

Answer 31

VF, Hypercalcemia, digitalis toxicity

Question 32

Contraindications Activated Charcoal (Actidose)

Answer 32

Poisonings by cyanide, mineral acids, caustic alkalis, organic solvents, iron, ethenol, methanol

Question 33

Contraindications Morphine Sulfate

Answer 33

Hypersensitivity, undiagnosed head injury, hypovolemia or severe hypotension, acute asthma, COPD, respiratory depression

Question 34

Contraindications Fentanyl Citrate (Sublimaze)

Answer 34

Myasthenia gravis, hypersensitivity to opiates, MAOI use

Question 35

Contraindications Ketorolac (Toradol)

Answer 35

NSAID allergy, ASA sensitive asthma, known peptic ulcer disease, recent GI bleed, renal failure, confirmed cerebrovascular bleeding, recent CABG, pregnancy

Question 36

Contraindications Acetaminophen (tylenol, APAP)

Answer 36

hypersensitivity to acetaminophen or phenacetin

Question 37

Contraindications Ibuprofen (advil, motrin, nuprin)

Answer 37

Hypersensitivity, children less than six months old, GI intolerance such as colitis

Question 38

Contraindications Procainamide (Pronestyl)

Answer 38

Hypersensitivity, 2nd and 3rd degree AV block, myasthenia gravis