Drug contraindications Flashcards
1
Q
Adrenaline
A
Hypovolaemic shock
2
Q
Aspirin
A
- Active bleeding peptic ulcers
- Bleeding disorders
- Dissecting aortic aneurysm
- Chest pain with psychostimulant OD
- Hypersensitivity
3
Q
Ceftriaxone
A
Hypersensitivity to cephalosporin antibiotics
4
Q
Dexamethasone
A
Nil
5
Q
Dextrose 10%
A
Nil
6
Q
Fentanyl
A
Late second stage labour, hypersensitivity
7
Q
Glucagon
A
Nil
8
Q
GTN
A
- Hypersensitivity
- VT rhythm
- Sex performance drugs (Viagra, Levitra, Cialis)
- BP <90mmHg (for 50mg patch)
- BP <110mmHg (for 300/600mcg tablet)
- Inferior STEMI with BP >160mmHg
- Right ventricular MI
- Heart rate <50bpm
- Heart rate >150bpm
9
Q
Ipratropium bromide
A
Hypersensitivity to atropine and it’s derivatives
10
Q
Ketamine
A
Brain injury with severe hypertension >180mmHg
11
Q
Midazolam
A
Known hypersensitivity to benzos
12
Q
Morphine
A
Hypersensitivity, late second stage labour, renal impairment/failure
13
Q
Naloxone
A
Nil
14
Q
Normal saline
A
Nil
15
Q
Ondanstron
A
- Hypersensitivity
- Co-current apomorphine use
- Long Q-T syndrome
- High magnesium
- High potassium
16
Q
Olanzapine
A
Nil
17
Q
Paracetamol
A
- Hypersensitivity
- <1 month old
- Already administered in last 4 hours
- Max dose in last 24 hours (4g)
- Chest pain in ACS
18
Q
Prochlorperazine
A
- <21 years old
- Hypersensitivity
- CNS depression
- Circulatory collapse (indicated by poor perfusion)
- Pregnancy
19
Q
Salbutamol
A
Nil
