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Acp Drug Contraindications > Contraindications > Flashcards

Contraindications Flashcards

1
Q

Adenosine

A

-Hypersensitivity

-Second or third-degree AV node block

-sick sinus syndrome in patients without an artificial pacemaker

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2
Q

Amiodarone

A

-Hypersensitivity
-Cardiogenic shock
-Marked symptomatic sinus bradycardia
-Second or third-degree atrioventricular node block

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3
Q

Atropine

A

-Hypersensitive to atropine or other anticholinergics
-Tachycardia
-Narrow-angle glaucoma
-Thyrotoxicosis
-Prostatic hypertrophy
-Myasthenia gravis

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4
Q

Calcium chloride

A

-Hypersensitivity to calcium chloride
-Primary or secondary hypercalcemia

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5
Q

Diphenhydramine

A

-Hypersensitivity to antihistamines
-Neonates
-Premature infants

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6
Q

Dimenhydranate

A

-Known sensitivity to dimenhydrinate, diphenhydramine, or caffeine derivatives

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7
Q

Epinephrine

A

-There are no absolute contraindications to EPINEPHrine use in life-threatening situations such as anaphylaxis

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8
Q

Fentanyl

A

-Known hypersensitivity to opioids (including morphine)
-Myasthenia gravis
-Pre-existing respiratory depression
-Acute asthma
-Upper airway obstruction

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9
Q

Ipratropium

A

Known hypersensitivity to ipratropium or any formulation components

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10
Q

Ketamine

A

-Hypersensitivity to ketAMINE
-Unable to manage the adverse effects of ketAMINE
-Conditions where elevated blood pressure may be harmful
-ACP: Age < 6 months

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11
Q

Lidocaine

A

-Allergy or hypersensitivity to lidocaine
-For systemic (IV/IO) administration, including rhythm control and IO anesthesia:
-Third-degree AV block
-Ventricular escape rhythms
-Wolff-Parkinson-White syndrome
Consider alternative agents in patients with congestive heart failure. CliniCall consultation recommended to discuss care planning options in these cases (1-833-829-4099).

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12
Q

Magnesium sulfate

A

-Hypersensitivity to magnesium sulfate
-Second or third-degree AV block

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13
Q

Midazolam

A

-Hypersensitivity to MIDAZOLam or other benzodiazepines
-Acute narrow-angle glaucoma
-Shock
-Decreased level of consciousness
-Hypotension

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14
Q

Naloxone

A

-Allergy or known hypersensitivity to naloxone
-Neonates

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15
Q

Nitro

A

-Known allergy or hypersensitivity to nitroglycerin
-Use of Viagra (sildenafil) or Levitra (vardenafil) within the previous 24 hours
-Use of Cialis (tadalafil) within the previous 48 hours
-Severe anemia
-Restrictive pericarditis or pericardial tamponade
-Documented right sided acute myocardial infarction
-Hypotension or uncorrected hypovolemia

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16
Q

Phenylephrine

A

-Known hypersensitivity or allergy to phenyLEPHRine
-Hypersensitivity to sulfites (contained in the product preparation)
-Severe hypertension or ventricular tachycardia
-Pheochromocytoma

17
Q

Salbutamol

A

-Known hypersensitivity to salbutamol
-Hemodynamically significant tachycardia

18
Q

Sodium bicarbonate

A

-Suspected metabolic alkalosis
-History of excessive vomiting (i.e., evidence of chloride loss)

19
Q

Txa

A

-Hypersensitivity to tranexamic acid
-Gastrointestinal hemorrhage
-Time since injury to administration > 3 hours
-< 1 year (ACP)

20
Q

Aspirin

A

-Allergy to aspirin or other non-steroidal anti-inflammatory (NSAIDS) agents. This includes many non-aspirin/non-Tylenol pain relievers such as Advil
-Asthma (see special notes)
-Recent head injury, stroke or acute bleeding (significant) of any kind
-Pediatric patients with viral symptoms

21
Q

Cpap

A

-Patient age 12 years and less
-Decreased level of consciousness, or inability to follow commands
-Respiratory arrest or hypoventilation
-Patients who are in imminent or actual respiratory failure (i.e., whose respirations are slow, feature shallow tidal volumes, and whose level of consciousness is falling) are not candidates for CPAP; these patients must be ventilated with a bag-valve mask (and may benefit from PEEP use)
-Unable to fit mask to patient’s face
-Vomiting or any other risk of aspiration
-Traumatic cause of respiratory distress
-Tracheostomy
-Suspected or known pneumothorax
-Systolic blood pressure < 90 mmHg

22
Q

Cpap

A

Patient age 12 years and less
Decreased level of consciousness, or inability to follow commands
Respiratory arrest or hypoventilation
Patients who are in imminent or actual respiratory failure (i.e., whose respirations are slow, feature shallow tidal volumes, and whose level of consciousness is falling) are not candidates for CPAP; these patients must be ventilated with a bag-valve mask (and may benefit from PEEP use)
Unable to fit mask to patient’s face
Vomiting or any other risk of aspiration
Traumatic cause of respiratory distress
Tracheostomy
Suspected or known pneumothorax
Systolic blood pressure < 90 mmHg

Acp Drug Contraindications (1 decks)

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