Contraindications

Question 0

Adenocard (adenosine)

Answer 0

A-flutter/fib, sick sinus syndrome, 2nd or 3rd degree heart block, drug induced tachycardia. use with caution in transplanted heart

Question 1

ACE Inhibitors

Answer 1

do not administer within the first 6 hours of an infarction or prior to reperfusion therapy. hypotension, renal failure, angioedema, or pregnancy

Question 2

Adrenalin (epinephrine)

Answer 2

none in cardiac arrest or anaphylactic shock

Question 3

Amiodarone (cordarone)

Answer 3

cardiogenic shock, corneal laser surgery, hypersensitivity, heart blocks, sick sinus syndrome. not recommended for neonates or infants.

Question 4

Aspirin (acetylsalicylic acid)

Answer 4

active ulcers, GI bleeding, hemorrhagic stroke, bleeding disorders

Question 5

Atropine Sulfate

Answer 5

A-fib/flutter, pregnancy, bronchial asthma, glaucoma, myasthenia gravis, acute MI

Question 6

Beta blockers

Answer 6

cardiogenic shock, AV block, bradycardia

Question 7

Calan, Isotopin (Verapamil)

Answer 7

WPW, wide-complex tachycardia, bradycardia, heart blocks, hypotension, CHF. should not be used with beta blockers, digitalis

Question 8

calcium chloride 10%

Answer 8

do not mix with NaHCO3, avoid patients receiving digitalis preparations

Question 9

calcium channel blockers

Answer 9

WPW, CHF, heart blocks, hypotension

Question 10

Clopidrogel (Plavix)

Answer 10

intracranial hemorrhage, GI bleed, trauma

Question 11

Diltiazem (cardiazem)

Answer 11

cardiogenic shock, CHF, heart blocks, sick sinus syndrome, wide-complex tachycardia

Question 12

Dopamine (intropin)

Answer 12

V-fib/V-tach, correct hypovolemia first

Question 13

fentanyl citrate (Sublimaze)

Answer 13

known sensitivity. use with caution in TBI, respiratory depression

Question 14

fibrinolytic therapy

Answer 14

previous stroke, active internal bleeding, suspected aortic dissection, uncontrolled hypertension, current use of anticoagulants, known bleeding disorder, recent ST segment depression, major surgery, CVA

Question 15

Lanoxin (digoxin)

Answer 15

renal failure, digitalis toxicity, hypokalemia, hypercalcemia, heart blocks, bradycardia, V-fib/V-tach, sick sinus syndrome, MI

Question 16

Lasix (furosemide)

Answer 16

sensitivity to sulfas, preexisting hypotension or dehydration, urinary frequency, lactation, hypokalemia, hyperglycemia

Question 17

Lydocaine HCl (Xylocaine)

Answer 17

heart blocks, WPW, bleeding

Question 18

magnesium sulfate

Answer 18

heart blocks, renal disease, recent MI. have CaCl on hand when giving to patients taking digitalis

Question 19

Nipride (sodium nitroprusside)

Answer 19

use with caution in hypothyroidism, hepatic or renal disease. hypotension, increased ICP, CAD, CVA

Question 20

Nitrostat (nitroglycerin)

Answer 20

hypotension, severe bradycardia or tachycardia, right-sided infarction, use of Viagra/Cialis/Levitra within 24 hours. use with caution in ICP

Question 21

Quinidine

Answer 21

digitalis toxicity, AV block, myasthenia gravis, sick sinus syndrome, concurrent use of skeletal muscle relaxers or neuromuscular blockers. Incompatible with cholinergic drugs, diazepam, warfarin, heparin, anticonvulsants, phenothiazines, NTG, similar antiarrhythmics, phenytoin, verapamil

Question 22

Sodium bicarbonate

Answer 22

metabolic alkalosis

Question 23

Vasopressin

Answer 23

responsive patients with cardiac disease

Question 24

warfarin (Coumadin)

Answer 24

bleeding tendencies, recent surgeries, history of falls