contraindications Flashcards

1
Q

Adrenaline

A

Hypovolemic shock without adequate fluid replacement

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2
Q

Aspirin

A

BASH C
1. Bleeding disorders
2. Active bleeding peptic ulcers
3. Suspected dissecting aortic aneurysm
4. Hypersensitivity
5. Chest pain in psychostimulant OD with SBP >160

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3
Q

Ceftriaxone

A
  1. Allergy to Cephalosporin antibiotics
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4
Q

Dexamethasone

A
  1. Hypersensitivity
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5
Q

Dextrose

A

Nil of significance

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6
Q

Fentanyl

A
  1. Hypersensitivity
  2. Late second stage labour
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7
Q

Glucagon

A

Nil of significance

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8
Q

GTN

A
  1. Known hypersensitivity
  2. SBP <100
  3. Heart rate > 150
  4. Heart rate <50 excluding Autonomic Dysreflexia
  5. VT
    6.PDE5 inhibitors - Viagra or Levitra in past 24hrs or Cialis in past 4 days (can cause severe hypotension)
  6. Riociguat - current use
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9
Q

Heparin

A
  1. Hypersensitivity
  2. Active bleeding
  3. Oral anticoagulants
  4. Bleeding disorders
  5. Hx of Heparin induced thrombocytopenia
  6. Severe hepatic disease or impairment - including oesophageal varices
  7. Recent trauma or surgery <3 weeks
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10
Q

Ipratropium Bromide

A
  1. Hypersensitivity to Atropine or its derivatives
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11
Q

Ketamine

A
  1. Non-traumatic brain injury with SBP >180
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12
Q

Lignocaine

A
  1. Known hypersensitivity to Lignocaine or related local anaesthetics
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13
Q

Methoxyflurane

A
  1. Renal disease/renal impairment
  2. Personal or family hx of malignant hyperthermia
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14
Q

Midazolam

A
  1. Known hypersensitivity to benzodiazepines
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15
Q

Morphine

A
  1. Known hypersensitivity
  2. Renal impairment/failure
  3. Late second stage labour
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16
Q

Naloxone

A

Nil of significance

17
Q

Olanzapine

A

Nil

18
Q

Ondansetron

A
  1. Hypersensitivity
  2. Concurrent Apomorphine use
19
Q

Oxytocin

A
  1. Exclude multiple pregnancies before administration
20
Q

Paracetamol

A
  1. Children < 1 month
21
Q

Prochlorperazine

A
  1. CNS depression (ie. stroke/ severe intox)
  2. Pts <21 yrs of age
22
Q

Salbutamol

A

Nil of significance

23
Q

Tenecteplase

A
  1. Major surgery in past 3 months
  2. Signifiant head injury in past 3 months
  3. Major trauma in past 3 months
  4. Stroke/TIA in past 3 months
  5. ICH at any time
  6. Current bleeding disorder, active bleeding, or bleeding tendencies
  7. GI or Genitourinary bleed in past month
  8. Anticoagulants or glycoprotein IIb/IIIa inhibitors
  9. Hypersensitivity to tenecteplase or gentamicin
24
Q

Droperidol

A

nil

25
Q

Hydrocortisone

A

Nil