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ambo > Contraindications > Flashcards

Contraindications Flashcards

1
Q

Adrenaline

Contraindications

A

Adrenaline

✘ Nil

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2
Q

Aspirin

Contraindications

A

Aspirin

✘ Allergy AND/OR Adverse Drug Reaction to aspirin OR any NSAID

✘ Chest pain associated with psychostimulant OD

✘ Bleeding OR clotting disorders (haemophilia)

✘ Current GI bleeding OR peptic ulcers

✘ Patient < 18 years

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3
Q

Ceftriaxone

Contraindications

A

Ceftriaxone

✘ Allergy AND/OR Adverse Drug Reaction to cephalosporin antibiotics

✘ Known immediate OR severe hypersensitivity to penicillin OR carbapenem based drugs

✘ Patient < 1 month *** call QAS Consultation

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4
Q

Dexamethasone

Contraindications

A

Dexamethasone

✘ Allergy AND/OR Adverse Drug Reaction

✘ Children less than 6 months OR greater than 6 years of age (consult)

✘ Steroid administration within 4 hours

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5
Q

Droperidol

Contraindications

A

Droperidol

✘ Allergy AND/OR Adverse Drug Reaction

✘ Parkinson’s disease

✘ Known Lewy body dementia

✘ Previous dystonic reaction to droperidol

✘ Patients < 8 years

✘ Suspected sepsis *** call QAS Consultation

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6
Q

Fentanyl

Contraindications

A

Fentanyl

✘ Allergy AND/OR Adverse Drug Reaction

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7
Q

Glucagon

Contraindications

A

Glucagon

✘ Allergy AND/OR Adverse Drug Reaction

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8
Q

Glucose gel

Contraindications

A

Glucose gel

✘ Unconsciousness

✘ Patients with difficulty swallowing

✘ Patients < 2yrs

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9
Q

Glucose 10%

Contraindications

A

Glucose 10%

✘ Nil

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10
Q

Glyceryl trinitrate

Contraindications

A

Glyceryl trinitrate

✘ Allergy AND/OR Adverse Drug Reaction

✘ Heart rate < 50 OR > 150 beats per minute

✘ Systolic BP < 100 mmHg

✘ Acute CVA

✘ Head trauma

✘ Phosphodiesterase inhibitor medication administration:
- Sildenafil OR vardenafil in the previous 24 hours
- Tadalafil in the previous 48 hours

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11
Q

Hydrocortisone

Contraindications

A

Hydrocortisone

✘ Allergy and/or Adverse Drug Reaction

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12
Q

Ibuprofen

Contraindications

A

✘ Allergy and/or Adverse Drug Reaction to any NSAID OR aspirin

✘ Concurrent NSAID therapy

✘ Current GI bleeding OR peptic ulcers

✘ Dehydration AND/OR hypovolaemia

✘ Renal impairment

✘ NSAID induced asthma

✘ Heart failure

✘ Pregnancy

✘ Angiotensin converting enzyme (ACE) inhibitor OR Angiotensin II receptor blocker
(ARB) therapy

✘ Patients less than 13 years OR older than 65 years of age

✘ Patients taking anticoagulant medications

✘ Diuretic treatment

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13
Q

Ipratropium bromide

Contraindications

A

Ipratropium bromide

✘ Allergy and/or Adverse Drug Reaction

✘ Patients less than 1 year of age

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14
Q

Loratadine

Contraindications

A

Loratadine

✘ Allergy and/or Adverse Drug Reaction

✘ Anaphylaxis

✘ Patients less than 8 years of age

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15
Q

Methoxyflurane

Contraindications

A

Methoxyflurane

✘ Allergy and/or Adverse Drug Reaction

✘ Patients < 1 year

✘ History of significant liver or renal disease

✘ History of malignant hyperthermia

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16
Q

Midazolam

Contraindications

A

Midazolam

✘ Allergy and/or Adverse Drug Reaction

17
Q

Morphine

Contraindications

A

Morphine

✘ Allergy and/or Adverse Drug Reaction

✘ Kidney disease (renal failure)

18
Q

Naloxone

Contraindications

A

Naloxone

✘ Allergy and/or Adverse Drug Reaction

✘ The newly born patient

19
Q

Ondansetron

Contraindications

A

Ondansetron

✘ Allergy and/or Adverse Drug Reaction

✘ Congenital long QT syndrome

✘ Current apomorphine therapy (used in severe Parkinson’s disease)

✘ Patients less than 2 years of age

✘ First trimester pregnancy (may only be administered for extreme and uncontrolled hyperemesis)

20
Q

Oxytocin

Contraindications

A

Oxytocin

✘ Allergy and/or Adverse Drug Reaction

✘ Undelivered fetuses

21
Q

Paracetamol

Contraindications

A

Paracetamol

✘ Allergy and/or Adverse Drug Reaction

✘ Patients < 1 month old

22
Q

Salbutamol

Contraindications

A

Salbutamol

✘ Allergy and/or Adverse Drug Reaction

✘ Patients less than 1 year

23
Q

Sucrose 24%

Contraindications

A

Sucrose 24%

✘ Patients greater than 12 months of age

✘ Sucrose intolerance
- Congenital sucrase-isomaltase deficiency (CSID)

✘ Fructose intolerance

✘ Glucose-galactose malabsorption

✘ Concurrent muscle relaxant/paralysis therapy

24
Q

Tranexamic acid

Contraindications

A

Tranexamic acid

✘ Allergy and/or Adverse Drug Reaction

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