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Drugs > Contraindications > Flashcards

Contraindications Flashcards

1
Q

Magnesium sulfate (Contraindications)

A

Hemodynamicallly significant heart block

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2
Q

Naloxone (Contraindications)

A

None in EMS

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3
Q

Ibuprofen (Contraindications)

A

Known hypersensitivity to drug or NSAIDs
Unprotected airway
Bleeding disorders
Peptic ulcer disease

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4
Q

Acetaminophen/ APAP (Contraindications)

A

Patient cannot protect their airway
Know hypersensitivity
Severe hepatitc disease

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5
Q

Dexamethasone (Contraindications)

A

Known hypersensitivity

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6
Q

Vasopressin (Contraindications)

A

Not recommended for PEDs

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7
Q

Racemic epinephrine (Contraindications)

A

None in EMS

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8
Q

Ipratropium bromide (Contraindications)

A

Known hypersensitivity

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9
Q

Nitrous oxide 50% (Contraindications)

A

Patient cannot understand verbal instructions for use of the drug
Alcohol intoxication
Head injury
Abdominal pain and distention

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10
Q

Phenylephrine nasal spray 0.5% (Contraindications)

A

Known hypersensitivity

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11
Q

0.9% sodium chloride solution (Contraindications)

A

Circulatory overload with CHF
trauma in pregnancy
burn injury

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12
Q

5% dextrose in water (Contraindications)

A

Fluid replacement in hypovolemia

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13
Q

Lactated Ringer’s solution (Contraindications)

A

Circulatory overload with CHF

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14
Q

Tetracaine (Contraindications)

A

Known hypersensitivity, not recommended for PEDs

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15
Q

Pralidoxime chloride (2-Pam) (Contraindications)

A

None in EMS, not recommended for PEDs

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16
Q

Proparacaine ophthalmic solution 0.5% (Contraindications)

A

Known hypersensitivity

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17
Q

Calcium gluconate 2.5% topical gel (Contraindications)

A

None in EMS

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18
Q

Oxytocin (Contraindications)

A

Known hypersensitivity
Presence of a fetus with impending delivery
Not recommended for PEDs

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19
Q

Verapamil (Contraindications)

A

Known hypersensitivity
Hypotension
Myocardial infarction
Cardiogenic shock
V-TACH
Second or third degree heart block
WPW
Not recommended for PEDs

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20
Q

Morphine sulfate (Contraindications)

A

Known hypersensitivity
Head injury
Decrease LOC
Hypotension

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21
Q

Calcium gluconate (Contraindications)

A

Known hypersensitivity
digoxin (Lanoxin) toxicity

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22
Q

Hydroxocobalamin (Contraindications)

A

None in EMS

23
Q

Lorazepam (Contraindications)

A

Known hypersensitivity

24
Q

Methylprednisolone (Contraindications)

A

None in EMS

25
Q

Glucagon (Contraindications)

A

Known hypersensitivity

26
Q

Activated Charcoal (Contraindications)

A

Patients cannot protect their airway
Ingestion of caustics, hydrocarbons, acids, corrosives, cyanide, solvents, iron,. Lithium, lead, petroleum products

27
Q

Diltiazem (Contraindications)

A

Known hypersensitivity
Hypotension
Myocardial infarction
Cardiogenic shock
V-TACH
Second or third degree heart block
WPW
Not recommended for PEDs

28
Q

Dopamine (Contraindications)

A

Hypovolemic shock

29
Q

Etomidate (Contraindications)

A

Known hypersensitivity

30
Q

Furosemide (Contraindications)

A

Hypotension
hypovolemia

31
Q

Lidocaine (Contraindications)

A

Known hypersensitivity
PVC in conjunction with bradycardia
Second or third degree heart block

32
Q

Ketamine (Contraindications)

A

Known hypersensitivity
Not recommended for PEDs

33
Q

Midazolam (Contraindications)

A

Known sensitivity

34
Q

Norepinephrine (Contraindications)

A

Hypotension caused by hypovolemia

35
Q

Fentanyl (Contraindications)

A

Known hypersensitivity
Head injury
Decreased level of consciousness
Respiratory arrest
Hypotension

36
Q

Rocuronium (Contraindications)

A

Known hypersensitivity

37
Q

Sodium bicarbonate 7.5-8.4% (Contraindications)

A

None in EMS

38
Q

Nitroglycerin (Contraindications)

A

Hypotension
Hypovolemia
Patient has taken ED drugs in last 48 hours (Viagra, Cialis, Levitra) and other phosphodiesterase-5 inhibitor medications
Not recommended for PEDs

39
Q

Acetylsalicylic acid/ASA (Contraindications)

A

Known hypersensitivity
Not recommended for PEDs

40
Q

Oxygen (Contraindications)

A

Oxygen supports combustion for ignition source

41
Q

Dipphenhydramine (Contraindications)

A

Known hypersensitivity

42
Q

Epinephrine (Contraindications)

A

None in EMS

43
Q

Albuterol sulfate (Contraindications)

A

Known hypersensitivity

44
Q

Ondansetron (Contraindications)

A

Known hypersensitivity

45
Q

Adenosine (Contraindications)

A

A-FIB
A-Flutter
Torsades
Second or third degree heart block
WPW

46
Q

Calcium chloride (Contraindications)

A

None in EMS

47
Q

Amiodarone (Contraindications)

A

Cardiogenic shock
Bradycardia
Second or third degree heart block
Hypotension

48
Q

Bumetanide (Contraindications)

A

Hypotension or hypovolemia
Not recommended for PEDs

49
Q

Oral glucose (Contraindications)

A

Patient cannot protect airway
Nausea
Vomiting

50
Q

Dextrose 50% (Contraindications)

A

Head injury

51
Q

Diazepam (Contraindications)

A

Known sensitivity
Head injury

52
Q

Thiamine (Contraindications)

A

None in EMS

53
Q

Atropine sulfate (Contraindications)

A

Known hypersensitivity
Tachycardia
Hypothermia-induced bradycardia

54
Q

Succinylcholine (Contraindications)

A

Known hypersensitivity

Drugs (7 decks)

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