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JRCALC Guidelines 2013 > Drug Contra-indications > Flashcards

Drug Contra-indications Flashcards

1
Q

Amiodarone (AMO)

Contra-indications

A

None in context of cardiac arrest.

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2
Q

Aspirin (ASP)

Contra-indications

A
  • Known allergy or sensitivity.
  • Children under 16 yrs.
  • Active GI bleed.
  • Haemophilia or other known clotting disorders.
  • Severe hepatic disease.
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3
Q

Atropine (ATR)

Contra-indications

A

Should not be given to treat bradycardia in suspected hypothermic patients.

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4
Q

Benzylpenicillin (BPN)

Contra-indications

A

Known severe penicillin allergy (more than just a simple rash).

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5
Q

Chlorphenamine (CPH)

Contra-indications

A
  • Known hypersensitivity.

- Children

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6
Q

Clopidogrel (CLO)

Contra-indications

A
  • Known allergy or sensitivity.
  • Severe liver impairment.
  • Active pathological bleeding (e.g. Peptic ulcer or intracranial haemorrhage).
  • Breastfeeding.
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7
Q

Dexamethasone (DEX)

Contra-indications

A
  • Previously diagnosed hypertension.

- Systemic infection/sepsis.

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8
Q

Diazepam (DZP)

Contra-indications

A

None

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9
Q

Entonox (NOO)

Contra-indications

A
  • Severe head injuries with impaired consciousness.
  • Decompression sickness (the bends).
  • Violently disturbed psychiatric patients.
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10
Q

Furosemide (FRM)

Contra-indications

A
  • Pre-comatose state secondary to liver cirrhosis.
  • ## Severe renal failure with anuria.
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11
Q

Glucagon (GLU)

Contra-indications

A
  • Low glycogen stores.

- Hypoglycaemic seizures.

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12
Q

Glucose 10% (GLX)

Contra-indications

A

None

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13
Q

Glucose 40% Oral Gel (GLG)

Contra-indications

A

None

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14
Q

Glyceryl Trinitrate (GTN)

Contra-indications

A
  • Hypotension (
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15
Q

Heparin (HEP)

Contra-indications

A
  • Haemophilia and other haemorrhagic disorders.
  • Thrombocytopenia.
  • Recent cerebral haemorrhage.
  • Severe hypertension.
  • Severe liver disease.
  • Oesophageal varices.
  • Peptic ulcer.
  • Major trauma.
  • Recent surgery to eye or nervous system.
  • Acute bacterial endocarditis.
  • Spinal or epidural anaesthesia.
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16
Q

Hydrocortisone (HYC)

Contra-indications

A

Known allergy (to sodium succinate or sodium phosphate).

17
Q

Ibuprofen (IBP)

Contra-indications

A
  • Dehydration.
  • Hypovolaemia.
  • Known to have renal insufficiency.
  • Active upper GI disturbance.
  • Pregnant
18
Q

Ipratropium Bromide (IPR)

Contra-indications

A

None in the emergency situation.

19
Q

Metoclopramide (MTC)

Contra-indications

A
  • Age
20
Q

Misoprostol (MIS)

Contra-indications

A
  • Known hypersensitivity.
  • Active labour.
  • Possible multiple pregnancy or suspected foetus in utero.
21
Q

Morphine Sulphate (MOR)

Contra-indications

A
  • Children
22
Q

Naloxone Hydrochloride (NLX)

Contra-indications

A
  • Neonates born to opioid-addicted mothers.
23
Q

Ondansetron (ODT)

Contra-indications

A
  • Known hypersensitivity.

- Infants

24
Q

Oxygen (OXG)

Contra-indications

A

Explosive environments.

25
Q

Paracetamol (PAR)

Contra-indications

A
  • Known paracetamol allergy.

- Paracetamol given within the last four hours or if max cumulative daily dose given already.

26
Q

Reteplase (RPA)

Contra-indications

A

Refer to local checklist.

27
Q

Salbutamol (SLB)

Contra-indications

A

None in the emergency situation.

28
Q

Sodium Chloride 0.9% (SCP)

Contra-indications

A

None

29
Q

Sodium Lactate Compound (SLC)

Contra-indications

A
  • Diabetic hyperglycaemic ketoacidotic coma and pre-coma.

- Neonates

30
Q

Syntometrine (SYN)

Contra-indications

A
  • Known hypersensitivity.
  • Active labour.
  • Severe cardiac, liver or kidney disease.
  • Hypertension and severe pre-eclampsia.
  • Possible multiple pregnancy or suspected foetus in utero.
31
Q

Tenecteplase (TNK)

Contra-indications

A

Refer to local checklist.

32
Q

Tetracaine (4%) (TTC)

Contra-indications

A
  • Life threatening situations.
  • Requiring venepuncture in less than 15mins.
  • Known allergy to tetracaine, dressing to be used or other local anaesthetic.
  • Pregnant or breastfeeding.
  • Age
33
Q

Tranexamic Acid (TXA)

Contra-indications

A
  • Isolated head injury.
  • Critical interventions leaving insufficient time for TXA administration.
  • Bleeding now stopped.
34
Q

Adrenaline (ADM/ADX)

Contra-indications

A

Do not give repeated doses in hypothermic patients.

JRCALC Guidelines 2013 (3 decks)

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