Contraindications

Question 1

Acetaminophen

Answer 1

Known/suspected chronic liver disease

Question 2

Activated charcoal

Answer 2

Ethanol poisoning, no gag reflex

Question 3

Adenosine

Answer 3

Irregular tachycardia, heart transplant, AFib, torsades de pointes

Question 4

Albuterol sulfate

Answer 4

Extreme tachycardia

Question 5

Amiodarone

Answer 5

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

Question 6

Amyl nitrite

Answer 6

N/A in EMS

Question 7

Atropine

Answer 7

Hypersensitivity

Question 8

Aspirin

Answer 8

Aspirin allergy, active GI bleed

Question 9

Calcium

Answer 9

Hypercalcemia, suspected digoxin od, routine pulseless arrest

Question 10

Dextrose

Answer 10

N/A in EMS

Question 11

Diazepam

Answer 11

Hypotension, respiratory depression

Question 12

Diltiazem

Answer 12

Hypotension, chf, cardiogenic shock, wide-complex tachyarrhythmia

Question 13

Diphenhydramine

Answer 13

Glaucoma, pregnancy

Question 14

Dopamine

Answer 14

Not used in hypovolemia until replacement

Question 15

Droperidol

Answer 15

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

Question 16

Duodote

Answer 16

No poisoning

Question 17

Epinephrine

Answer 17

N/A

Question 18

Fentanyl

Answer 18

Hypersensitivity

Question 19

Glucagon

Answer 19

Hyper sensitivity

Question 20

Haloperidol

Answer 20

Hypotension, suspected MI, respiratory depression, pregnancy

Question 21

Hydroxylcobalamin

Answer 21

N/A in EMS

Question 22

Hydromorphone

Answer 22

Hypersensitivity

Question 23

Ibuprofen

Answer 23

Broncospasm, angioedema

Question 24

Ipratropium

Answer 24

Hypersensitivity

Question 25

Lidocaine

Answer 25

IV calcium channel blockers

Question 26

Lorazepam

Answer 26

Hypotension, respiratory depression

Question 27

Magnesium

Answer 27

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

Question 28

Methylprednisolone

Answer 28

Active GI bleed

Question 29

Metoclopramide

Answer 29

<8YO or suspected bowel obstruction

Question 30

Midazolam

Answer 30

Hypotension, respiratory depression

Question 31

Morphine

Answer 31

Hypotension

Question 32

Naloxone

Answer 32

Hypersensitivity

Question 33

Nitroglycerin

Answer 33

Suspected STEMI, hypotension, recent use of ED meds

Question 34

Nitrous oxide

Answer 34

COPD, pneumothorax, bowel obstruction

Question 35

Ondansetron

Answer 35

N/A

Question 36

Oral glucose

Answer 36

Inability to protect airway, unable to take PO

Question 37

Oxygen

Answer 37

N/A in EMS

Question 38

Oxytocin

Answer 38

Anything other than postpartum bleeding in EMS

Question 39

Phenylephrine

Answer 39

Avoid in cardiogenic shock

Question 40

Promethazine

Answer 40

Hypersensitivity

Question 41

Racemic epinephrine

Answer 41

Hypersensitivity

Question 42

Sodium bicarbonate

Answer 42

Metabolic and respiratory alkalosis, hypocalcemia

Question 43

Thiamine

Answer 43

None in EMS