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ASNSW Pharmacology > Contraindications > Flashcards

Contraindications Flashcards

1
Q

Adrenaline : Contra

A

Nil

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2
Q

Amiodarone : Contra

A

Torsades De Pointes

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3
Q

Aspirin : Contra

A
  1. Allergy or hypersensitivity to Aspirin
  2. Active, suspected or known bleeding tendency
  3. < 16 yr old
  4. Patients meeting T1 trauma criteria
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4
Q

Atropine : Contra

A

Nil

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5
Q

Benzyl Penicillin : Contra

A

Life threatening allergic reaction to Penicillin

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6
Q

Calcium Gluconate : Contra

A

Nil

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7
Q

Clopidogrel : Contra

A
  1. Active, suspected or known bleeding tendency
  2. Allergy or hypersensitivity to Clopidogrel
  3. Any exclusion per Pre-hospital Thrombolysis Checklist
  4. < 18 yr old
  5. Pregnancy or breastfeeding
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8
Q

Compound Sodium Lactate : Contra

A

Nil

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9
Q

Droperidol : Contra

A
  1. Known or suspected hypersensitivity to Droperidol
  2. < 14 yr old
  3. Parkinson’s Disease
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10
Q

Enoxaparin Sodium : Contra

A
  1. Allergy or hypersensitivity to Enoxaparin Sodium

2. Any exclusion per Pre-hospital Thrombolysis Checklist

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11
Q

Fentanyl : Contra

A
  1. Altered LOC (V, P or U)
  2. Epistaxis or occluded nasal passages
  3. < 1 yr old
  4. Previous or known allergy or adverse reaction
  5. Pregnant women >= 20 weeks gestation in labour.
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12
Q

Fexofenadine : Contra

A
  1. Allergy or hypersensitivity to Fexofenadine
  2. < 12 yr
  3. Previous administration of Fexofenadine within 24hrs
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13
Q

Frusemide : Contra

A
  1. BP <100mmHg

2. < 16 yr old

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14
Q

Glucagon : Contra

A

Nil

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15
Q

Glucose 10% : Contra

A

Nil

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16
Q

Glucose Gel : Contra

A

[-] LOC or altered gag reflex

17
Q

Glyceryl Trinitrate : Contra

A
  1. BP < 90mmHg
  2. Pulse rate < 50 or > 150 per minute
  3. < 16 yr old
  4. Use of drugs to treat erectile dysfunction:
    Sildenafil (Viagra) - within 24hrs
    Vardenafil (Levitra) - within 24hrs
    Tadalafil (Cialis) - within 96hrs
18
Q

Hydrocortisone : Contra

A
  1. Known or suspected allergy to Corticosteroids, Sodium Succinate or Sodium Phosphate
  2. Active peptic ulcer disease
19
Q

Ibuprofen : Contra

A
  1. Active, known or suspected bleeding tendency
  2. Hx of allergic reactions to NSAIDs
  3. Pt with Asthma who have a Hx of wheeze post NSAID administration OR who have not previously taken an NSAID.
  4. Active peptic ulcer disease or GIT bleeding
  5. Dehydration
  6. Renal impairment
  7. Pregnancy
  8. Severe heart failure
  9. < 7 yr old
  10. Multiple previous doses:
    - self administration within 4-6hrs and/or
    - 1.2g (6 tablets) within 24hrs for >= 12 yrs of age or
    - 800mg (4 tablets) within 24hrs for 7-12 yrs of age
20
Q

Influenza Vaccine : Contra

A
  1. Allergy or hypersensitivity to Influenza Vaccine
  2. Known anaphylactic hypersensitivity to egg proteinsk chicken proteins or any other vaccine component (e.g. neomycin)
  3. Acute febrile illness
21
Q

Ipratropium Bromide : Contra

A
  1. < 6 months of age
  2. Allergy or hypersensitivity to Ipratropium Bromide
  3. Glaucoma
22
Q

Ketamine : Contra

A
  1. Suspected or known allergy to Ketamine
  2. Known or suspected Hx of Psychosis
  3. < 14 yr old
  4. Known 1st or 2nd trimester pregnancy.
23
Q

Lignocaine : Contra

A

Allergy or hypersensitivity to Lignocaine

24
Q

Methoxyflurane : Contra

A

MUDCAP

  1. Malignant Hyperthermia
  2. Untreated renal failure
  3. Decreased LOC (V, P or U)
  4. Concurrent Tetracycline use (e.g. Doxycycline)
  5. Acute behaviourally disturbed patients
  6. Pre-eclampsia / eclampsia
  7. < 1 yr old
25
Q

Metoclopramide : Contra

A
  1. Suspected bowel obstruction
  2. Suspected or known Haematemesis or Melaena
  3. Previous Hx of Extrapyramidal / Dystonic reactions
  4. Allergy or hypersensitivity to Metoclopramide
  5. < 16 yr old
  6. Parkinson’s Disease.
26
Q

Midazolam : Contra

A

Nil

27
Q

Morphine : Contra

A
  1. Altered LOC (V, P or U except pt requiring post intubation sedation and/or procedural sedation and analgesia)
  2. Allergy or hypersensitivity to Morphine
  3. Neonates < 40 weeks (corrected) age
  4. Pregnant women >= 20 weeks gestation in labour.
28
Q

Naloxone : Contra

A

Neonates born to opioid dependent mothers (due to risk of inducing opioid withdrawal)

29
Q

Ondansetron : Contra

A
  1. Concurrent Apomorphine administration
  2. Allergy or hypersensitivity to Ondansetron
  3. < 2 yr old
30
Q

Oxygen : Contra

A
  1. Paraquat poisoning if SpO2 > 90% on room air.

2. Concurrent use with Methoxyflurane except when administering oxygen via nasal prongs.

31
Q

Oxytocin : Contra

A

Allergy or hypersensitivity to Oxytocin

32
Q

Paracetamol : Contra

A
  1. Allergy or hypersensitivity to Paracetamol
  2. Liver failure
  3. Multiple previous doses:
    - self administration within 4 hrs and/or
    - 4g (8 tablets) within 24 hrs for >= 12 yrs of age or
    - 2g (4 tablets) within 24 hrs for 7-12 yrs of age
  4. < 7 yr old.
33
Q

Pralidoxime Chloride / Atropine : Contra

A

< 6 yr old

34
Q

Salbutamol : Contra

A

Nil

35
Q

Sodium Bicarbonate : Contra

A

Nil

36
Q

Tenecteplase : Contra

A
  1. Any exclusion via Prehospital Thrombolysis Checklist

2. < 18 yr old

ASNSW Pharmacology (8 decks)

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