Contraindications

Question 1

Adenosine

Answer 1

Sick sinus syndrome, 2nd of 3rd degree blocks w/o ventricular pacemaker
Precipitates bronchospasm (asthma caution)
Pt’s on theophylline, methylxanthines, tegretol, persantine
Known a fib/flutter
Pregnancy
Cardiac transplant pt’s may be sensitive

Question 2

Albuterol

Answer 2

Synergistic w/ other sympathomimetics

Diabetes, hyperthyroidism, cerebrovascular disease use caution

Question 3

Amiodarone

Answer 3

Bradycardia
2nd or 3rd degree heart blocks unless pacemaker
Cardiogenic shock
Hypotension
Pulmonary congestion

Question 4

Aspirin

Answer 4

Bleeding ulcer
Hemorrhagic
Hemophilia
Hypersensitivity
Children/adolescents

Question 5

Atropine

Answer 5

Hypersensitivity (belladonna)
Glaucoma
Tachycardia
Obstructive GI disease
Hepatic disease
Renal disease
Myasthenia gravis
Thyrotoxicosis
Mobitz type 2 or 3rd degree block

Question 6

Calcium Chloride

Answer 6

Hypercalcemia

Concurrent digoxin

Question 7

Dextrose

Answer 7

Thiamine deficiency 
DT's, alcoholism use w/ thiamine
Head injury
Intracranial hemorrhage
Severe pain (paradoxical excitement)

Question 8

Diltiazem

Answer 8

Hypotension (90 or less)
AMI
Cardiogenic shock
VT or wide complex VT of unknown origin
2nd or 3rd degree blocks
WPW
Sick sinus syndrome
Beta blocker use

Question 9

Diphenhyrdamine

Answer 9

Hypersensitivity
Newborns, infants, nursing mothers
Glaucoma
Obstructive GI issues
Age over 60

Question 10

Dopamine

Answer 10

Hypovolemic shock (relative)
Phenochromocytoma
MAO inhibitors (marplan, nardil, parnate)

Question 11

Epinephrine

Answer 11

No known for cardiac arrest

Hypothermia, relative

Question 12

Glucagon

Answer 12

Hypersensitivity
Phenochromocytoma
Insulinoma
IV access

Question 13

Ipatropium Bromide

Answer 13

Hypersensitivity

Narrow angle glaucoma (caution)

Question 14

Lidocaine

Answer 14

Known hypersensitivity
2nd or 3rd degree block (extreme caution)
Ectopic beats less than 60 (treat brady)

Question 15

Magnesium Sulfate

Answer 15

Hypermagnesia
Use cautiously in renal failure and heart blocks
Works with CNS depressants, use caution

Question 16

Morphine

Answer 16

Respiratory depression
Head injuries
Elevated ICP
Athsma (relative)
Abdominal pain

Question 17

Naloxone

Answer 17

Hypersensitivity

Question 18

Nitro

Answer 18

Hypovolemia
Increased ICP
Hypotension

Question 19

Solu-medrol

Answer 19

Preterm infants

Question 20

Thiamine

Answer 20

Dont give arterial

Question 21

Versed

Answer 21

Hypersensitivity

Myasthenia gravis, COPD, intoxication, pregnancy (relative)

Question 22

Zofran

Answer 22

Hypersensitivity
Hepatic impairment (caution)
Long QT syndrome