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Pharmacology Manual > Contraindications-Table 1 > Flashcards

Contraindications-Table 1 Flashcards

1
Q

Ibuprofen

A

Hypersensitivity, children less than six months old, GI intolerance such as colitis

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2
Q

Procainamide

A

Hypersensitivity, 2nd and 3rd Degree AV Blocks, myasthenia gravis

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3
Q

Tylenol

A

Hypersensitivity to acetaminophen phenacetin

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4
Q

Ketorolac

A

NSAID allergy; ASA sensitive Asthma; known peptic ulcer disease; recent GI bleed; renal failure; confirmed Cerebrovascular bleeding; recent CABG; pregnancy

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5
Q

Fentanyl Citrate

A

Myasthenia Gravis, hypersensitivity to opiates, MAOI use

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6
Q

oxygen

A

none

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7
Q

Diazepam (Valium)

A

Known Hypersensitivity, shock, coma, acute alcohol intoxication

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8
Q

Lorazapam (ativan)

A

Hypersensitivity to benzodiazepines, acute narrow-angle glaucoma, coma, shock, acute alcohol intoxication

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9
Q

Midazolam (Versed)

A

Hypersensitivity to benzodiazepines, acute narrow-angle glaucoma, coma, shock, acute alcohol intoxication

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10
Q

Succinylcholine

A

Acute narrow angle glaucoma, penetrating eye injuries, family history of malignant hyperthermia, hyperkalemia, 24-48 hours post severe trauma including burns, disorder of pseudocholinesterase neuromuscular disorders such as myasthenia gravis or ALS.

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11
Q

Epinephrine (Adrenaline)

A

hypersensitivity to sympathomimetic amines

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12
Q

Vasopressin (Pitressin)

A

Chronic nephritis, ischemic heart disease, PVC’s first stage of labor

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13
Q

Lidocaine (Xylocaine)

A

Hypersensitivity, supraventricular dysrhythmias, untreated sinus block, 2nd degree mobitz II AV block, 3rd degree AV block, stoke-adams syndrome

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14
Q

Amiodarone

A

Hypersensitivity, cardiogenic shock, severe sinus bradycardia, AV block

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15
Q

Atropine Sulfate

A

none in the emergent setting

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16
Q

Adenosine (Adenocard)

A

2nd and 3rd degree AV blocks, symptomatic bradycardia, sick sinus syndrome, hypersensitivity

17
Q

Diltiazem (Cardizem)

A

Hypersensitivity, sick sinus syndrome, 2nd and 3rd degree AV block, hypotension, WPW, wide complex tachycardia

18
Q

Metoprolol (Lopressor)

A

Hypersensitivity, sinus bradycardia, heart block greater than 1st degree (except in patients with a functioning artificial pacemaker) cardiogenic shock (BP <100), uncompensated cardiac failure, pregnancy (2nd and 3rd trimesters) asthma, COPD

19
Q

Dopamine (Intropin)

A

Pheochromocytoma, tachydysrhythmias, ventricular fibrillation

20
Q

Dobutamine (Dobutrex)

A

Hypersensitivity, VT

21
Q

Aspirin

A

Hypersensitivity

22
Q

Nitroglycerin

A

Hypersensitivity, head trauma, patients in shock (systolic BP<90mmHg) Patients with increased ICP (Head Trauma

23
Q

Sodium Bicarbonate (NaHCO3)

A

none in the emergent setting

24
Q

Magnesium Sulfate

A

Do not administer to any patient with heart block, shock, persistent hypertension, hypocalcemia, or myocardial infarction

25
Q

Oxytocin

A

Hypersensitivity and prior to delivery of the fetus. Adminstration prior to delivery may cause fetal hypoxia, asphyxia, and dysrhythmias.

26
Q

Albuterol (Proventil, Ventolin)

A

Hypersensitivity

27
Q

Ipratropium bromide (Atrovent)

A

Hypersensitivity to ipratropium, atropine, soya lecithin and peanut oil.

28
Q

Methylprednisolone

A

None in the management of anaphylaxis

29
Q

50% Dextrose in water (D50W or D50)

A

None in a patient with documented hypoglycemia

30
Q

Glucagon (GlucaGen)

A

Known Hypersensitivity

31
Q

Diphenhydramine (Benadryl)

A

Hypersensitivity, newborns and nursing mothers

32
Q

Haloperidol (Haldol)

A

Hypersensitivity, children, alcohol intoxication, coma

33
Q

Naloxone (Narcan)

A

Known Hypersensitivity

34
Q

Furosemide (Lasix)

A

Hypersensitivity, hypotension, dehydration and electrolyte depletion

35
Q

Hydrooxocobolamin (CyanoKit)

A

Hypersensitivity to any component of the medication including cobalt

36
Q

Calcium Chloride

A

VF, hyppercalcemia, digitalis toxicity

37
Q

Activated Charcoal

A

Poisonings by cyanide, mineral acids, caustic alkalis, organic solvents, iron, ethanol, methanol

38
Q

Morphine Sulfate

A

Hypersensitivity, undiagnosed head injury, hypovolemia or severe hypotension, acute asthma, COPD, respiratory depression

Pharmacology Manual (8 decks)

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