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Paramedic Drugs (South Africa) > Contraindications > Flashcards

Contraindications Flashcards

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0
Q

Morphine Sulphate - Contra-indications

A

Known allergies

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1
Q

Midazolam - Contra-indications

A

Known hypersensitivity/allergy to benzodiazepines

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2
Q

Naloxone Hydrochloride - Contra-indications

A

Known allergy

Infants of opioid addicted mothers

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3
Q

Promethazine - Contra-indications

A

Not recommended for children under 2 years of age

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4
Q

Adrenaline - Contra-indications

A

There are no absolute contra-indications in emergency setting

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5
Q

Aspirin - Contra-indications

A

Known hypersensitivity/allergy to aspirin
Peptic ulceration with active bleeding
Bleeding tendency
Patients already receiving Platelet Aggregation Inhibitors or Anticoagulants
Pregnancy
Children < 12 years of age
Severe renal impairment/renal transplant
No longer recommended in decompression sickness

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6
Q

Amiodarone Hydrochloride - Contra-indications

A 
Atrioventricular block
Sinus bradycardia
Sino-atrial block
Allergy to Iodine
Prior use of Lignocaine hydrocloride
Torsades de Pointes (polymorphic VT with preceding or known long QT interval), if this can be determined
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7
Q

Atropine Sulphate - Contra-indications

A

Not indicated for use in neonates

There are no absolute contra-indications in an emergency setting

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8
Q

Beta 2 Adrenergic Stimulants - Contra-indications

A

Known hypersensitivity/allergy to Beta2 stimulants

Neonates

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9
Q

Calcium Chloride 10% - Contra-indications

A

Not for routine use in cardiac arrest

Not indicated for use in neonates

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10
Q

Clopidogrel - Contra-indications

A

Known hypersensitivity /allergy to clopidogrel
Active pathological bleeding, e.g. actively bleeding peptic ulcer, intracranial haemorrhage
Safety and efficacy in children < 18 years not established (Not indicated)
Safety and efficacy in pregnancy and lactation not established

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11
Q

Corticosteroids - Contra-indications

A

There are no absolute contra-indications in the emergency setting

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12
Q

Diazepam - Contra-indications

A

Known hypersensitivity/allergy to benzodiazepines
In a patient with persistent convulsions, there are no absolute contra-indications, but due to its ability to cause respiratory depression, it must not be used if the patient cannot be artificially ventilated should the need arise

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13
Q

Flumazenil - Contra-indications

A 
Known hypersensitivity
Suspected Tricyclic Anti-depressant overdose
Unknown mixed-drug overdose
Patients with a high risk of convulsions
Neonates
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14
Q

Furosemide - Contra-indications

A

Known hypersensitivity/allergy to furosemide or sulphonamides
Systolic blood pressure < 90mmHg
Hypovolemia/dehydration
Patients with hypokalemia - a contraindication out of hospital, if diagnosed

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15
Q

Glucagon - Contra-indications

A

Phaechromocytoma
Must not be administered to patients who are hypersensitive to glucagon
History of allergy to beef or porcine protein
Safety in pregnancy & lactation has not been established

16
Q

Glyceryl Trinitrate - contra-indications

A

Known hypersensitivity/allergy to nitrates
Children
Hypotension (SBP < 90mmHg)
Decrease in normal blood pressure > 10% or 30% if hypertensive
Sildenafil (Viagra) or Vardenafil (Levitra) taken during the preceding 24 hours
Tadafil (Cialis) taken in last 48 hours
Bradycardia/severe tachycardia
Right ventricular infarction

17
Q

Ipratropium Bromide - Contra-indications

A

Known hypersensitivity to ipratropium bromide or other anti-cholinergic drugs
Do not use in neonates

18
Q

Lignocaine Hydrochloride (Lidocaine) (Systemic) - Contra-indications

A

Prior use of Amiodarone Hydrochloride
Known hypersensitivity / allergy to lignocaine
Heart blocks (second or third degree AV blocks)
Bradycardia
Hypotension not due to ventricular arrhythmia
Severe sinus node dysfunction
Accelerated idioventricular rhythm

19
Q

Lorazepam - contra-indications

A
  • Known hypersensitivy/allergy to benzodiazepines or to the vehicle
  • In a patient with persistent convulsions, there are no other absolute contra-indications, but due to its ability to cause respiratory depression, it must not be used if the patient cannot be artificially ventilated, should the need arise
  • Safety in pregnancy has not been established
20
Q

Magnesium Sulphate - Contra-indications

A

None

21
Q

Metoclopromide Monohydrochloride - Contra-indications

A
  • Known hypersensitivity/allergy to metoclopromide
  • CNS: Epilepsy
  • GIT: Haemorrhage, obstruction, perforation, or postoperative
  • Children due to increased incidence of extra-pyramidal effects
22
Q

Midazolam - Contra-indications

A

-Known hypersensitivity/allergy to benzodiazepines

23
Q

Morphine Sulphate - Contra-indications

A

-Known hypersensitivity / allergies

24
Q

Naloxone Hydrochloride - Contra-indications

A
  • Known hypersensitivity/allergy

- Infants of opioid addicted mothers

25
Q

Promethazine - Contra-indications

A
  • Not recommended for children under 2 years of age

- Known hypersensitivity/allergy to promethazine

26
Q

Sodium Bicarbonate 8.5% - contra-indications

A
  • Respiratory hypercarbic acidosis

- Absence of effective ventilation and circulation

27
Q

Thiamine Hydrochloride - Contra-indications

A

-Known hypersensitivity/allergy to thiamine

Paramedic Drugs (South Africa) (7 decks)

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