Contraindications

Question 1

Adrenaline

Answer 1

Nil

Question 2

Aspirin

Answer 2

Known severe allergy
Third trimester of pregnancy

Question 3

Glucagon

Answer 3

Known severe allergy

Question 4

Glyceryl trinitrate

Answer 4

Known severe allergy
Systolic BP less than 110 mmHg
Heart rate less than 40bpm
Heart rate greater than 150bpm
Ventricular tachycardia

Question 5

Ibuprofen

Answer 5

Known severe allergy
Pregnancy
The presence of sepsis, dehydration, shock, or clinically significant bleeding, as ibuprofen can worsen renal impairment and increase the risk of bleeding
Known worsening of bronchospasm with NSAID’s, as happens to some patients with asthma or COPD

Question 6

Ipratropium

Answer 6

Known severe allergy

Question 7

Loratadine

Answer 7

Known severe allergy
Age less than one year

Question 8

Methoxyflurane

Answer 8

Known severe allergy
Personal or family history of malignant hyperthermia
Known renal impairment
Methoxyflurane administered within the last week, as frequent administration increased the risk of renal impairment

Question 9

Ondansetron

Answer 9

Known severe allergy
Age less than one year
Suspected serotonin syndrome

Question 10

Paracetamol

Answer 10

Known severe allergy

Question 11

Prednisone/prednisolone

Answer 11

Known severe allergy

Question 12

Salbutamol

Answer 12

Known severe allergy

Question 13

Tramadol

Answer 13

Known severe allergy
Age less than 12 years