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Drugs Specific Focus > Contraindications > Flashcards

Contraindications Flashcards

1
Q

Acetaminophen

A

Known/suspected chronic liver disease

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2
Q

Activated charcoal

A

Ethanol poisoning, no gag reflex

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3
Q

Adenosine

A

Irregular tachycardia, heart transplant, AFib, torsades de pointes

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4
Q

Albuterol sulfate

A

Extreme tachycardia

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5
Q

Amiodarone

A

2nd/3rd degree heart block, cardiogenic shock, breastfeeding, bradycardia

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6
Q

Amyl nitrite

A

N/A in EMS

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7
Q

Atropine

A

Hypersensitivity

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8
Q

Aspirin

A

Aspirin allergy, active GI bleed

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9
Q

Calcium

A

Hypercalcemia, suspected digoxin od, routine pulseless arrest

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10
Q

Dextrose

A

N/A in EMS

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11
Q

Diazepam

A

Hypotension, respiratory depression

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12
Q

Diltiazem

A

Hypotension, chf, cardiogenic shock, wide-complex tachyarrhythmia

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13
Q

Diphenhydramine

A

Glaucoma, pregnancy

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14
Q

Dopamine

A

Not used in hypovolemia until replacement

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15
Q

Droperidol

A

Prolonged QT on ecg, suspected acs, hypotension, absence of radial pulse, respiratory depression

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16
Q

Duodote

A

No poisoning

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17
Q

Epinephrine

A

N/A

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18
Q

Fentanyl

A

Hypersensitivity

19
Q

Glucagon

A

Hyper sensitivity

20
Q

Haloperidol

A

Hypotension, suspected MI, respiratory depression, pregnancy

21
Q

Hydroxylcobalamin

A

N/A in EMS

22
Q

Hydromorphone

A

Hypersensitivity

23
Q

Ibuprofen

A

Broncospasm, angioedema

24
Q

Ipratropium

A

Hypersensitivity

25
Q

Lidocaine

A

IV calcium channel blockers

26
Q

Lorazepam

A

Hypotension, respiratory depression

27
Q

Magnesium

A

High degree heart block, shock, dialysis, hypocalcemia, v-fib, pulseless V Tach

28
Q

Methylprednisolone

A

Active GI bleed

29
Q

Metoclopramide

A

<8YO or suspected bowel obstruction

30
Q

Midazolam

A

Hypotension, respiratory depression

31
Q

Morphine

A

Hypotension

32
Q

Naloxone

A

Hypersensitivity

33
Q

Nitroglycerin

A

Suspected STEMI, hypotension, recent use of ED meds

34
Q

Nitrous oxide

A

COPD, pneumothorax, bowel obstruction

35
Q

Ondansetron

A

N/A

36
Q

Oral glucose

A

Inability to protect airway, unable to take PO

37
Q

Oxygen

A

N/A in EMS

38
Q

Oxytocin

A

Anything other than postpartum bleeding in EMS

39
Q

Phenylephrine

A

Avoid in cardiogenic shock

40
Q

Promethazine

A

Hypersensitivity

41
Q

Racemic epinephrine

A

Hypersensitivity

42
Q

Sodium bicarbonate

A

Metabolic and respiratory alkalosis, hypocalcemia

43
Q

Thiamine

A

None in EMS

Drugs Specific Focus (8 decks)

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