DRUG CARDS (CONTRAINDICATIONS) Flashcards

1
Q

Adenosine

(Adenocard)

CONTRAINDICATIONS

A

2nd & 3rd degree AV Block, Sick Sinus Syndrome, Symptomatic bradycardia, unless patient has functioning artificial pacemaker, Hypersensitivity

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2
Q

Albuterol Sulfate

(Proventil, Ventolin)

CONTRAINDICATIONS

A

Hypersensitivity, sensitivity to Albuterol Sulfate, Use caution in patient’s with tachydysrythmias greater than 150 bpm, and cardiovascular disorders

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3
Q

Amiodarone

(Cordarone)

CONTRAINDICATIONS

A

Known hypersensitivity, Cardiogenic shock present, Sinus Bradycardia (marked), 2nd or 3r Degree AV Block

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4
Q

Aspirin

(Ascriptin, Bayer, Ecotrin, Empirin)

CONTRAINDICATIONS

A

Ulcers, Gl disorders, Other bleeding disorders, Allergy, Hypersensitivity, Renal failure, Altered LOC, pregnancy

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5
Q

Atropine Sulfate

CONTRAINDICATIONS

A

None in Cardiac Arrest situation. Hypersensitivity, Glaucoma, Atrial Fibrillation, Ml - use caution

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6
Q

Brilinta

(Ticagrelor)

CONTRAINDICATIONS

A

Hypersensitiviy; active pathological bleeding, such as peptic ulcer intracranial hemorrhage. Severe hepatic impairment (cirrhosis, Hepatitis B or C, liver failure)

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7
Q

Dextrose

CONTRAINDICATIONS

A

Sub Q & IM injections Intercerebral bleeding, Hemorrhagic, CVA, Cerebral edema, Delirium Tremors if patient dehydrated.

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8
Q

Diazepam

(Valium)

CONTRAINDICATIONS

A

Hypersensitivity to drug, known allergy to benzodiazepines, hypotension, head injury, acute narrow angle glaucoma.

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9
Q

Diphenhydramine

(Benadryl)

CONTRAINDICATIONS

A

Hypersensitivity, Asthma, COPD, pregnant or lactating females

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10
Q

Dopamine

(Dopastat, lntropin)

CONTRAINDICATIONS

A

Tachyarrhythmia’s, Ventricular Fibrillation

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11
Q

Epinephrine 1:1,000

CONTRAINDICATIONS

A

None in Cardiac Arrest, Known Hypersensitivity, Do not give to
any patient who has repeatedly used an aerosol bronchodilator
within the past 4 hours. Do not use Epinephrine in males over 45
years old or females over 50 years old. Use with caution in
males over age 35 or in those patients with a known history
of hypertension, thyroid disease or angina.

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12
Q

Epinephrine 1:10,000

CONTRAINDICATIONS

A

None in Cardiac Arrest.

Known Hypersensitivity

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13
Q

Eptifibatide

(lntegrilin)

CONTRAINDICATIONS

A

“Hypersensitivity, history of bleeding diathesis or evidence of
active abnormal bleeding within the previous 30 days. Severe
Hypertension (systolic blood pressure >200 mm Hg or diastolic
blood pressure > 110 mm Hg) not adequately controlled on
antihypertensive therapy. Major surgery within the preceding 6
weeks. History of stroke within 30 days or any history of hemorrhagic
stroke. Current or planned administration of another parenteral GP
IIb/IIIa inhibitor. Dependency on renal dialysis.”

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14
Q

Etomidate

(Amidate)

CONTRAINDICATIONS

A

Hypersensitivity, Use caution in elderly patients

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15
Q

Flumazenil

(Romazicon)

CONTRAINDICATIONS

A

Known hypersensitivity to drug. Cyclic antidepressant overdose.
Cocaine or other stimulant intoxication. < 16 yrs. old.

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16
Q

Furosemide

(Lasix)

CONTRAINDICATIONS

A

Hypersensitivity

17
Q

Glucagon

CONTRAINDICATIONS

A

Hypersensitivity, Hyperglycemia, allergies to beef
or porcine proteins, lnsulinoma, Patients with adrenal gland tumor

18
Q

Heparin

CONTRAINDICATIONS

A

Severe thrombocytopenia (the number of platelets is reduced
the most common cause of bleeding disorders), Uncontrollable
active bleeding state.

19
Q

lpratropium

(Atroventl)

CONTRAINDICATIONS

A

Glaucoma

20
Q

Ketorlac

(Toradol)

CONTRAINDICATIONS

A

Hypersensitivity, Bleeding or blood clotting disorder,
bleeding in brain, closed head injury, Gl bleeding, pregnancy,
severe kidney disease, or ulcers. Renal patients.

21
Q

Lidocaine

(Xylocaine)

CONTRAINDICATIONS

A

Bradycardia, 2nd or 3rd degree heart block,
Known hypersensitivity, Stokes-Adams syndrome, WPW

22
Q

Lidocaine Jelly

(Xylocaine)

CONTRAINDICATIONS

A

Not recommended for tubes ETT # 4.0 to # 2.0
due to blockage of lumen. Anyone hypersensitive
or Children < 10

23
Q

Magnesium Sulfate

CONTRAINDICATIONS

A

Heart block or myocardial damage, Hypertension, Caution with
renal impairment. Caution: Reduce dosing with concurrent
narcotics and/or hypnotics

24
Q

Metoprolol

(Lopressor)

CONTRAINDICATIONS

A

Sinus Bradycardia, heart block greater than first degree,
cardiogenic shock, and overt cardiac failure. Hypersensitivity.
Sick Sinus-Syndrome. Ml with slow heart rate and hypotensive
< 100 mmHg Systolic. Patients with Bronchospastic Diseases
should in general not receive Beta Blockers.

25
Q

Midazolm

(Versed)

CONTRAINDICATIONS

A

Hypersensitivity, Pregnant, Nursing mothers, Renal failure,
Shock, Glaucoma, Acute alcoholic intoxication
with depressed vital signs

26
Q

Morphine

CONTRAINDICATIONS

A

Hypersensitivity, Significant hypotension, Acute abdominal
conditions, Multisystem trauma, Head injury, Convulsive
disorders, Hypovolemia, Asthma, Pregnancy, Exacerbated
COPD

27
Q

Nalbuphine

(Nubain)

CONTRAINDICATIONS

A

Hypersensitivity, patients physically dependent to opioids and who have not been detoxified

28
Q

Naloxone

(Narcan)

CONTRAINDICATIONS

A

Known Hypersensitivity

29
Q

Nitroglycerin

(Nitrolingual)

CONTRAINDICATIONS

A

Known Hypersensitivity, hypotension (Systolic BP < 90 mmHg),
Use with Caution in MI, & ICP (increased intracranial pressure).
Recent Viagra use, Glaucoma, Cerebral hemorrhage

30
Q

Nitrous Oxide

(N2O2)

CONTRAINDICATIONS

A

Impaired level of consciousness, head injury, chest trauma,
inability to comply with instructions, decompression sickness,
undiagnosed abdominal pain or marked distention, bowel
obstruction, shock, COPD.

31
Q

Ondansetron

(Zofran)

CONTRAINDICATIONS

A

Hypersensitivity

32
Q

Oral Glucose

(lnsta-Glucose, Glutose 15)

CONTRAINDICATIONS

A

Do not administer to unconscious person or unable to swallow

33
Q

Oxygen

CONTRAINDICATIONS

A

None
May depress respirations in rare patients with chronic
obstructive pulmonary disease. This is not a contraindication to
its use, but simply means that such patients must be watched
closely and assisted to breathe if the respiratory rate declines.

34
Q

Procainamide

(Pronestyl)

CONTRAINDICATIONS

A

Hypersensitivity, A-V Block, myasthenia gravis, hypersensitivity
to tartrazine

35
Q

Sodium Bicarbonate

CONTRAINDICATIONS

A

Hypertension, Convulsions, CHF, and other situations where
administration of sodium can be dangerous. Hypoxic and acidotic
(i.e. not intubated), severe pulmonary edema,hypocalcemia, hypokalemia, hypernatremia.

36
Q

Succinylcholine

(Anectine, Quelicin)

CONTRAINDICATIONS

A

Family history of malignant hyperthermia, Skeletal muscle myopathies,
Hypersensitivity, After acute phase of: Major burns, multiple trauma, major
crush injury, or abdominal sepsis (over 24 hours) and denervating conditions
(CVA. Parkinson’s disease, ALS, spinal cord injury), Succinylcholine
administered to such individuals may result in severe hyperkalemia which
may result in cardiac arrest.

37
Q

Tetracaine

(Pontocaine)

CONTRAINDICATIONS

A

Penetrating injury to eye or extrusion of sclera contents.
Known allergies.

38
Q

Vasopressin

(Pitressin)

CONTRAINDICATIONS

A

Known Hypersensitivity, Caution if liver disease, Seizure
disorder, CHF, CAD, Caution if impaired renal function, Asthma,
Migraine, Pregnancy, Caution if elderly, Not recommended in
conscious patients

39
Q

Vecuronium

(Norcuron)

CONTRAINDICATIONS

A

Hypersensitivity / Allergy, Newborns, myasthenia gravis