Drug contra’s Flashcards
Adrenaline contra
Hypovelemic shock without adequate fluid replacement
Salbutamol Pmdi contras
Nil
Ipratroprium Bromide contra
Hypersensitivity to Atropine
Dexamethasone contra
Known Hypersensitivity
Glucose contra
Nil
Conta- Dextrose 10%
Nil
Glucagon contra
Nil
Odanstertron contra
Apomorphine
Prochlorperazine contra
<21yo
CNS depression (unconscious, severely intoxicated)
Fentanyl (3) contras
2nd stages of labour
Serotonin syndrome
mAIO s
Paracetamol contra
Children < 1month old
Saline contra
Nil
Ketamine contra
Suspected non-traumatic brain injury w severe hypertension BP > 180
Morphine
Contras
(3)
Hypersensitivity
Late 2nd stages of labour
Renal failure
Methoxyfluraine contras
Renal disease
Malignant Hyperthermia
Naloxone contra
Nil
Aspirin contra (5)
Hypersensitivity
Actively bleeding peptic ulcers
Bleeding disorders
Suspected dissecting aortic aneurysm
Chest p associated w psychostimulant OD if SBP > 160
GTN contras (6)
BP <100
HR <50 >150
Ventricular tachycardia
PDE5 inhibitors
Riociguat
Bleeding in pregnancy
Aspirin Contas
Hypersensitivity
Activity bleeding peptic ulcers
Bleeding disorders
Suspected dissecting Aortic aneurysm
Chest p associated w psychostimulat OD w SBP <160
Contras for Midazolam
Hypersensitivity to benzodiazepines (benzo)
CPAP contras
A
B
C
Others
Airway
-unable to manage own airway (vomiting/ alt con state)
-Upper airway obstruction
Breathing
-Hypoventilation
Circulation
-severe hypotension (low BP)
-ventricular arrhythmia treat first
Others- injury to face
Heparin contras (7)
Hypersensitivity
Bleeding disorders
Active bleeding
Oral anticoagulants
Trauma/ surgery <3 weeks
Hx of HIT
Severe liver disease
Midazolame
Hypersensitivity to benzodiazepines
Ceftriaxon contras
Allergies to cephalosporin antibiotics
Oxytocin contra
None, as long as all babies have been delivered
