Contraindications Flashcards
1
Q
Adrenaline
A
- Hypovolaemic shock without adequate fluid replacement
2
Q
Aspirin
A
- Hypersensitivity to aspirin/salicylates
- Actively bleeding peptic ulcers
- Bleeding disorders
- Suspected dissecting aortic aneurysm
- Chest pain associated with psychostimulant OD if SBP >160
3
Q
Ceftriaxone
A
- Cephalosporin allergy
- Preterm neonates (<41 weeks corrected gestational age)
4
Q
Dexamethasone
A
- Known hypersensitivity
5
Q
Dextrose 10%
A
None
6
Q
Fentanyl
A
- Serotonin syndrome
- Late second stage labour
- Monoamine oxidase inhibitor use in the last 14 days
7
Q
Glucagon
A
- Known pancreatic tumours
- Known tumour of the adrenal gland
8
Q
GTN
A
- BP<100
- HR <50 (except in autonomic dysreflexia)
- HR >150
- VT
- PDE5 inhibitors (current/recent use)
- Riociguat (current use)
- Bleeding in pregnancy
9
Q
Hydrocortisone
A
None
10
Q
Ipratropium Bromide
A
- Known hypersensitivity to atropine or its derivatives
11
Q
Ketamine
A
- Suspected non-traumatic brain injury with SBP > 180
12
Q
Methoxyflurane
A
- Pre-existing renal disease
- Known (or genetic susceptibility) to malignant hyperthermia
13
Q
Midazolam
A
- Known hypersensitivity to benzodiazepines
14
Q
Morphine
A
- History of hypersensitivity
- Renal impairment/failure
- Late second stage labour
15
Q
Naloxone
A
None
16
Q
Olanzapine
A
None
17
Q
Ondansetron
A
- Apomorphine use
18
Q
Oxytocin
A
None, provided all babies have been delivered prior to administration
19
Q
Paracetamol
A
- Children <1 month of age
20
Q
Prochlorperazine (stemetil)
A
- CNS depression (I.e unconscious or severely intoxicated)
- Patients <21 years of age (more susceptible to extrapyramidal reactions)
21
Q
Salbutamol
A
None
22
Q
Tranexamic acid (TXA)
A
- Injury occurred > 2 hours prior to administration
