Contras

Question 1

Adrenaline

Answer 1

hypovolaemic shock without adequate fluid replacement

Question 2

Aspirin

Answer 2

1. hypersensitivity
2. actively bleeding peptic ulcers
3. bleeding disorders
4. suspected dissecting aortic aneurysm
5. chest pain assoc with psychostim OD if SBP >160

Question 3

Ceftriaxone

Answer 3

allergy to cephalosporin antibiotics

Question 4

Fentanyl

Answer 4

hypersensitivity

late second stage labour

Question 5

GTN

Answer 5

hypersentivity 
SBP less than 110 tablet
SBP less than 90 patch 
viagra or levitra in 24 hours or cialis in 4 days 
HR greater than 150 
HR less than 50 except in autonomic dysreflexia 
inferior STEMI with SBP less than 160 
right ventricular MI

Question 6

Ipratropium Bromide

Answer 6

hypersensitivity

Question 7

Methoxy

Answer 7

1. pre-existing renal disease
2. concurrent use of tetracycline antibiotics
3. exceed total dose of 6ml in 24 hours
4. personal or family history of malignant hyperthermia
5. muscular dystrophy

Question 8

Midaz

Answer 8

hypersensitivity

Question 9

Morphine

Answer 9

1. history of hypersensitivity
2. renal impairment
3. late second stage labour

Question 10

Naloxone

Answer 10

nil

Question 11

Ondansetron

Answer 11

1. known hypersensitivity
2. concurrent Apomorphine use
3. known long Q-T syndrome
4. hypokalaemia or hypomagnesaemia

Question 12

Paracetamol

Answer 12

1. hypersenstivity
2. children less than a month old
3. already admin in past 24 horus
4. total intake in 24 hours exceed 4g (adult) or 60mg/kg (children)
5. chest pain in suspected ACS

Question 13

Prochloperazine

Answer 13

1. circulatory collapse
2. CNS depression
3. hypersensitivity
4. children
5. pregnancy

Question 14

Salbutamol

Answer 14

nil