Contraindications Flashcards
1
Q
Albuterol Sulfate (1)
A
- allergy
2
Q
Racemic Epinephrine (3)
A
- Hypertension
- Underlying cardiovascular disease
- Epiglottitis
3
Q
Ipratropium Bromide (1)
A
- Allergy
4
Q
Magnesium Sulfate (1)
A
- Allergy
5
Q
Methylprednisolone (2)
A
- TBI (high doses)
- Allergy
6
Q
Morphine Sulfate (3)
A
- Respiratory and/or CNS depression
- Hypotension
- Allergy
7
Q
Naloxone (1)
A
- Allergy
8
Q
Nitroglycerin (4)
A
- Hypotension
- Recent use of ED meds (48 hours)
- Not to be given to children in prehospital setting
- Allergy
9
Q
Succinylcholine (9)
A
- Malignant hyperthermia
- Known or suspected hyperkalemia
- Penetrating eye injury (increases intraocular pressure)
- Inability to control the airway and/or support ventilation
- Paraplegia/ quadraplegia
- Musculoskeletal disorders such as muscular dystrophy, spinal muscular atrophy
- Prolonged immobilization
- Stroke with residual motor dysfunction
- Allergy
10
Q
Dexamethasone (3)
A
- Systemic fungal infections
- Preterm infants
- Allergy
11
Q
Diphenhydramine (3)
A
- Known hypersensitivity
- Newborns
- Allergy
12
Q
Etomidate (2)
A
- Known hypersensitivity
- Allergy
13
Q
Ketamine (4)
A
- Angina
- CHF
- Pregnancy
- Allergy
14
Q
Midazolam (2)
A
- Respiratory and/or CNS depression
- Allergy
15
Q
Phenylephrine (1)
A
- Allergy
16
Q
Vasopressin (1)
A
- Hypersensitivity
17
Q
Acetaminophen (5)
A
- Hypersensitivity
- Hepatic impairment
- Renal impairment (long-term use)
- Hypovolemia
- Chronic alcohol use
18
Q
Atropine (2)
A
- Bradycardia without evidence of cardiopulmonary compromise
- Allergy
19
Q
Lidocaine (2)
A
- Bradycardia
- Allergy
20
Q
Epinephrine (2)
A
- Uncontrolled hypertension is a relative contraindication
- Allergy
21
Q
Adenosine (4)
A
- Second or third degree heart block
- Poison or drug-induced tachycardia
- Known hypersensitivity
- Allergy
22
Q
Amiodarone (2)
A
- 2nd or 3rd degree AV blocks
- Allergy
23
Q
Sodium bicarbonate (1)
A
- Allergy
24
Q
Aspirin (3)
A
- If pt has taken 324mg within the last 24 hrs
- Allergy
- Active GI bleeding
25
Q
Fentanyl (2)
A
- O2 sat less than 90% or significant respiratory depression
- Allergy
26
Q
Calcium chloride (4)
A
- Do not use in setting of suspected digoxin toxicity
- Hypercalcemia
- Suspected severe hypokalemia (life-threatening cardiac arrhythmias may occur)
- Allergy
27
Q
Dopamine (2)
A
- Hypovolemia
- Allergy
28
Q
Norepinephrine (2)
A
- Hypotension caused by hypovolemia (blood volume deficit)
- Allergy
29
Q
Verapamil (9)
A
- Hypersensitivity
- Sick sinus syndrome
- 2nd or 3rd degree heart block
- Sinus bradycardia
- Hypotension
- Cardiogenic shock
- Severe heart failure
- WPW syndrome
- Wide complex tachycardias of uncertain origin
30
Q
Diltiazem (5)
A
- Heart block/ bradycardia
- Systolic BP < 90
- Sick sinus syndrome
- V tach
- Allergy
31
Q
A
