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Denver Metro Drug Profile Questions > Contraindications > Flashcards

Contraindications Flashcards

1
Q

Epinephrine

A

Adverse Reactions
• Tachycardia and tachydysrhythmia • Hypertension
• Anxiety
• May precipitate angina pectoris

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2
Q

Acetaminophen

A

Contraindications
• Historyofallergytoacetaminophen
• Chronicliverdisease
• Therapeuticdoseofacetaminophenwithinpast6hoursorgreaterthan3gminlast24hours.

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3
Q

ADENOSINE (ADENOCARD)

A

Contraindications

•Anyirregulartachycardia.Specificallyneveradministertoanirregularwide-complextachycardia, which may be lethal
• Hearttransplant

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4
Q

ALBUTEROL SULFATE (PROVENTIL, VENTOLIN)

A

Contraindications
• Severe tachycardia is a relative contraindication

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5
Q

AMIODARONE (CORDARONE)

A

Precautions
• Wide complex irregular tachycardia
• Sympathomimetic toxidromes, i.e. cocaine or amphetamine overdose
• NOT to be used to treat ventricular escape beats or accelerated idioventricular rhythms
Contraindications
• 2nd or 3rd degree AV block • Cardiogenic shock

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6
Q

Versed

A

Contraindications
• Hypotension
• Respiratory depression

  • Mandatory call in when used with fentanyl
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7
Q

ATROPINE SULFATE

A

Precautions
• Should not be used without medical control direction for stable bradycardias • Closed angle glaucoma
Adverse Reactions
• Anticholinergic toxidrome in overdose, think “blind as a bat, mad as a hatter, dry as a bone, red as a beet”

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8
Q

CALCIUM

A

Contraindications
• Known or suspected hypercalcemia
• Known or suspected digoxin toxicity (i.e. digoxin overdose)

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9
Q

DROPERIDOL (INAPSINE)

A

Contraindications
• Suspected acute myocardial infarction/ACS
• Systolic blood pressure under 100 mm/Hg, or the absence of a palpable radial pulse • Signs of respiratory depression

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10
Q

EPINEPHRINE (ADRENALIN)

A

Adverse Reactions
• Tachycardia and tachydysrhythmia • Hypertension
• Anxiety
• May precipitate angina pectoris
Drug Interactions
• Should not be added to sodium bicarbonate or other alkaloids as epinephrine will be inactivated at higher pH.

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11
Q

GLUCAGON

A

Side Effects
• Tachycardia
• Headache
• Nausea and vomiting

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12
Q

IPRATROPIUM BROMIDE (ATROVENT)

A

Contraindications
• Soy or peanut allergy is a contraindication to the use of Atrovent metered dose inhaler, not the nebulized solution, which does not have the allergen contained in propellant.

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13
Q

LIDOCAINE 2% SOLUTION

A

Side Effects
• Seizures
• Drowsiness • Tachycardia • Bradycardia • Confusion
• Hypotension
Precautions
• Lidocaine is metabolized in the liver. Elderly patients and those with liver disease or poor liver perfusion secondary to shock or congestive heart failure are more likely to experience side effects

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14
Q

MAGNESIUM SULFATE

A

Precautions
• Bradycardia
• Hypotension
• Respiratory depression
Adverse Reactions
• Bradycardia
• Hypotension
• Respiratory depression

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15
Q

METHYLPREDNISOLONE (SOLU-MEDROL)

A

Contraindications
• Evidence of active GI bleed

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16
Q

KETOROLAC (TORADOL)

A

Contraindications
•AllergytoNSAIDs• Pregnancyorbreastfeeding
• HistoryofGIbleedingoractivestomachulcer
• Historyofchronickidneydiseaseorkidneytransplant
• Anticoagulation/antiplatelet(gbloodthinners)orhistoryofabloodclottingdisorder • Insettingofmultisystemtrauma
• Acuteheadtraumaorsuspectedintracranialbleed
• Ketorolaciscontraindicatedforageslessthan12-years-oldandover65-years-old
• Severedehydration

17
Q

FENTANYL

A

Contraindications
• Fentanyl - Hemodynamic instability or shock
• Morphine and hydromorphone – Hypotension, hemodynamic instability, or shock • Respiratory depression

18
Q

PHENYLEPHRINE (INTRANASAL)

A

Precautions
• Avoid administration into the eyes, which will dilate pupil.

19
Q

RACEMIC EPINEPHRINE

A

Side Effects
• Tachycardia
• Palpitations
• Muscle tremors

20
Q

SODIUM BICARBONATE

A

Contraindications
• Metabolic and respiratory alkalosis • Hypocalcemia
• Hypokalemia

21
Q

KETAMINE (KETALAR)

A

Contraindications:
● Penetrating eye trauma
● Patient less than 3 months of age

22
Q

TRANEXAMIC acid txa

A

Contraindications
Patient less than 13
Greater than 3 hours post injury/bleeding onset
Known hypersensitivity to TXA

Denver Metro Drug Profile Questions (4 decks)

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