Contraindications

Question 1

Adenosine

Answer 1

• Sick sinus syndrome
• A-Flutter
• A-Fib
• V-Tach

Question 2

Albuterol

Answer 2

• Myocardial infarction

- Cardiac pulmonary edema

Question 3

Amiodarone

Answer 3

• Cardiogenic shock
• Hypotension
• Bradycardia

Question 4

Aspirin

Answer 4

• Unable to swallow
• Active bleeding ulcer
• ASA allergy

Question 5

Atropine Sulfate

Answer 5

• High degree heart block

- Glaucoma

Question 6

Brethine

Answer 6

• Myocardial infarction

- Cardiac pulmonary edema

Question 7

Calcium Gluconate

Answer 7

• Known hypercalcemia

- Suspected digoxin toxicity

Question 8

Cardizem

Answer 8

• BP <90
• WPW or short P-R interval syndrome
• Heart block
• Sinus Tach
• Cardiogenic shock

Question 9

Detrose 50%

Answer 9

• Intracranial hemorrhage

- Known/suspected cerebral vascular accident in the absence of hypoglycemia

Question 10

Diazepam

Answer 10

Respiratory depression

Question 11

Diphenhydramine

Answer 11

Asthma (relative)

Question 12

Dopamine

Answer 12

Hypovolemia

Question 13

Epi 1:1000

Answer 13

• Hypovolemic shock (correct hypovolemia first)
• MI
• MAOI’s

Question 14

Epi 1:10,000

Answer 14

None

Question 15

Etomidate

Answer 15

None

Question 16

Fentanyl

Answer 16

• Head injury

- BP <90

Question 17

Flumazenil

Answer 17

Not overdosed by provider

Question 18

Furosemide

Answer 18

• Polyuria (abnormally large amounts of urine)
• Hypotension
• Hypokalemia

Question 19

Glucagon

Answer 19

None

Question 20

Haloperidol

Answer 20

None

Question 21

Ipratroprium

Answer 21

• MI / Angina
• Cardiac pulmonary edema
• Glaucoma (relative)

Question 22

Lidocane

Answer 22

Heart blocks

Question 23

Lorazepam

Answer 23

• Respiratory depression

- CNS depression

Question 24

Magnesium Sulfate

Answer 24

None

Question 25

Mannitol

Answer 25

None

Question 26

Metoclopramide

Answer 26

• Hypotension
• Pt taking any other Na+ channel blocker
• Long QT syndrome

Question 27

Metoprolol

Answer 27

• Bradycardia
• Hypotension <90
• Obstructive pulmonary disease
• AV heart blocks

Question 28

Midazolam

Answer 28

Respiratory depression

Question 29

Morphine Sulfate

Answer 29

• Undiagnosed ABD pain

- Multisystems trauma

Question 30

Naloxone

Answer 30

None

Question 31

Nitroglycerine

Answer 31

• BP <100
• Suspected right ventricular MI
• Phosphodiesterase inhibitors (Viagra)

Question 32

Opthaine

Answer 32

• Globe not in the socket
• Global laceration
• Chemicals in the eye
• Penetration to globe

Question 33

Oxytocin

Answer 33

All products of conception must be expelled

Question 34

Procainamide

Answer 34

• 2nd or 3rd degree blocks
• Torsades
• Hypotension

Question 35

Promethazine

Answer 35

• MI

- Hypotension

Question 36

Racemic Epinephrine

Answer 36

None (must be refractory to other treatments)

Question 37

Sodium Bicarbonate

Answer 37

• Airway has to be patent and maintained

- Respiratory acidosis

Question 38

Methylprednisone Sodium

Answer 38

None

Question 39

Succinylcholine

Answer 39

None

Question 40

Thiamine

Answer 40

None

Question 41

Vecuronium Bromide

Answer 41

None

Question 42

Verapamil

Answer 42

• Sick sinus syndrome (unless the pt has a function pacemaker)
• 2nd or 3rd degree heart block
• Sinus bradycardia
• Hypotension
• WPW with A-fib or A-flutter

Question 43

Zofran

Answer 43

None

Question 44

Ketamine

Answer 44

• Relatively contraindicated in penetrating eye trauma

- Relative contraindication in patients with known cardiovascular disease