Contraindications Flashcards

1
Q

Adenosine Contra-indications

A
Asthma
Wolff-Parkinson-White Syndrome
Chronic Obstructive Pulmonary Disease (COPD)
Decompensated Heart Failure
Long QT Syndrome
2º and3º AV Block
Severe Hypotension
Sick Sinus (unless pacemaker fitted)
KSAR
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2
Q

Amiodarone

Contra-indications

A

KSAR

Known Hypersensitivity To Iodine

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3
Q

Aspirin

Contra-indications

A

Active symptomatic gastro-intestinal ulcer
Bleeding disorder (e.g. Haemophilia)
KSAR
Patients < 16 yrs old (risk of Reye’s Syndrome)

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4
Q

Atropine

Contra-indications

A

KSAR

Post-cardiac Transplantation

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5
Q

Ceftriaxone

Contra-indications

A

Age <1 month
KSAR
Hx of Severe Hypersensitivity (anaplylactic reaction) to any Beta-lactam antibacterial (Penicillins, Cephalosporins, Aztreonam, Meropenem, Ertapenem)

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6
Q

Chlorphenamine

Contra-indications

A

KSAR

Pre-coma States

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7
Q

Clopidogrel

Contra-indications

A

KSAR
Active Pathological Bleeding
Severe Liver Impairment

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8
Q

Cyclizine

Contra-indications

A

KSAR

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9
Q

Dextrose 10% Solution Contra-indications

A

KSAR

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10
Q

Epinephrine 1:10,000

Contra-indications

A

KSAR

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11
Q

Epinephrine 1:1,000

Contra-indications

A

None Known

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12
Q

Fentanyl Contra-indications

A
<1 year old
Known fentanyl hypersensitivity
ALoC
Bilateral occluded nasal passage
Nasal trauma
Epistaxis
Hypovolaemia.
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13
Q

Furosemide

Contra-indications

A

Pregnancy
Known Hypokalaemia
KSAR

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14
Q

Glucagon

Contra-indications

A

<1 year old
KSAR
Phaeochromocytoma

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15
Q

Glucose Gel

Contra-indications

A

KSAR

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16
Q

GTN

Contraindications

A

Sys BP <90 mmHg
Viagra or other Phosphodiesterase type 5 inhibitors (sildenafil,taladafil, vardenafil) used within previous 24 hours
Severe Mitral Stenosis
KSAR

17
Q

Hydrocortisone

Contra-indications

A

No major contraindications in acute management of anaphylaxis

18
Q

Ibuprofen

Contra-indications

A
Not suitable for children under 3 months
Patient with history of asthma exacerbated by aspirin
Pregnancy
Peptic ulcer disease
Known Renal Failure
Known Severe Liver Failure
Known Severe Heart Failure
Concurrent NSAID use
KSAR
19
Q

Ipratropium Bromide

Contra-indications

A

KSAR

20
Q

Ketamine Contra-indications

A
Acute porphyrias (rare enzyme disorder)
Pre-eclampsia
Eclampsia
Head Trauma
Hypertension
Severe Cardiac Disease
Stroke
KSAR
21
Q

Lidocaine

Contra-indications

A

No contraindications for cardiac arrest

22
Q

Magnesium Sulphate Injection

Contra-indications

A

None in Cardiac Arrest

KSAR

23
Q

Methoxyflurane Contra-indications

A
<5 years old
Altered LOC due to head injury, drugs or alcohol
Cardiovascular instability
Respiratory Depression
Renal Failure or Impairment
KSAR
24
Q

Midazolam Solution

Contra-indications

A

Shock
Respiratory depression
KSAR
Depressed vital signs or alcohol related altered level of consciousness

25
Q

Morphine

Contra-indications

A
PO < 1 Year old
Labour pains
Acute intoxication
Acute respiratory depression
Sys BP < 90mmHg 
KSAR
26
Q

Naloxone

Contra-indications

A

KSAR

27
Q

Nifedipine

Contra-indications

A

Hypotension

KSAR

28
Q

Nitrous Oxide 50% and Oxygen 50% (Entonox)

Contra-indications

A
Shock
Chest Injury / Pneumothorax
Altered Level of Consciousness
Recent Scuba Dive
Inhalation Injury
Decompression Sickness
Intestinal Obstruction
Carbon Monoxide poisoning
KSAR
29
Q

Ondansetron

Contra-indications

A

KSAR

30
Q

Oxygen Contra-indications

A

Bleomycin (Cancer Drug) lung injury

31
Q

Oxytocin Contra-indications

A

Severe Cardiac Dysfunction

KSAR

32
Q

Paracetamol Contra-indications

A

<1 month old
KSAR
Chronic Liver disease

33
Q

Salbutamol

Contraindications

A

KSAR

34
Q

Sodium Bicarbonate Injection

Contraindications

A

KSAR

35
Q

Sodium Chloride 0.9% Contra-indications

A

KSAR

36
Q

Ticagrelor Contra-indications

A

Hypersensitivity to the active substance (Ticagrelor) or to any of the excipients
Active Pathological Bleeding
Hx of Intracranial Haemorrhage
Moderate to Severe Hepatic Impairment

37
Q

Tranexamic Acid Contra-indications

A

Hypersensitivity to the active substance or to any of its excipients
Acute venous or arterial thrombosis
History of convulsions
Known Severe Renal Impairment