drug contraindications Flashcards
Adenosine (6)
2nd or 3rd degree block(without functioning pacemaker) sick sinus syndrome known hypersensitivity pregnancy (C) known A fib or A flutter irregular wide complex tachycardias
Albuterol (2)
known hypersensitivity
tachydysrhythmias
Amioderone (6)
pulmonary congestion cardiogenic shock amioderone sensitivity bradycardia procainamide use TCA overdose
Aspirin (4)
active bleeding disorders
under 18
pregnancy (D)
known hypersensitivity
Atropine (6)
NONE IN ARREST Myasthenia gravis closed angle glaucoma A fib and A flutter known hypersensitivity thyrotoxicosis urinary tract obstruction
Atrovent (1)
known sensitivity to atropine or bromide
Benadryl (3)
Hypersensitivity
acute asthma attack
lower respiratory tract infection
Calcium (3)
Hypercalcemia
dig toxicity
VF during resuscitation
Dextrose (2)
Intracranial hemorrhage
Closed head injury
Dilaudid (5)
Hypovolemia Hypotension Hypersensitivity Head injury with altered mental status status asthmaticus
Diltiazem (10)
2nd or 3rd degree block sick sinus syndrome cardiogenic shock hypersensitivity A fib or A flutter associated with WPW or short PR synd V tach wide complex tach of unk origin AMI advanced aortic stenosis hypotension
Dopamine (5)
women on oxytocin tachydysrhythmias VT/VF uncorrected hypovolemia known pheochromocytoma
Epinephrine (1)
hypersensitivity
none in arrest or severe anaphylaxis
Famotidine (4)
Hypersensitivity
acute asthma attack
lower respiratory tract disease/pneumonia
newborns and nursing mothers
Fentanyl (6)
hypovolemia hypotension myasthenia gravis MAOI antidepressants (Nardil, Parmate) within 2 weeks hypersensitivity head injury
Glucagon (3)
known hypersensitivity
known insulinoma
known pheochromocytoma
Haldol (3)
coma
severe CNS depression
Parkinson’s disease
Ketamine (7)
Hypertensive crisis (HTN/tachycardia) meth use acute globe injury/ glaucoma schizophrenia AMI, angina intracranial hemorrhage aortic dissection
Lidocaine (2)
advanced AV block
adams-stokes
Magnesium (3)
heart block
MI
hypermagnesaemia
Morphine (5)
hypovolemia hypotension MAOI within 14 days hypersensitivity head injury
Narcan (1)
known hypersensitivity
Oral Glucose
none
Oxytocin (1)
make sure baby and placenta are delivered and that there isn’t another baby
Phenylephrine (1)
hypersensitivity to sympathomimetic amines
Rocuronium (1)
sensitivity to drug class
Sodium Bicarbonate (5)
none in severe hypoxia and cardiac arrest metabolic and respiratory alkalosis severe pulmonary edema hypokalemia hypocalcemia hypernatremia
Solu-Medrol (3)
systemic fungal infections
TB
Cushing’s disease
Succinylcholine (4)
hypersensitivity
HX of malignant hyperthermia
Hx of skeletal muscle myopathy (rhabdo)
penetrating eye injury
Tetracaine (2)
hypersensitivity to PABA, sulfites
open or penetrating eye injury
Valium (5)
Shock Coma Respiratory depression Hypersensitivity, closed angle glaucoma
Vecuronium (1)
hypersensitivity
Versed (5)
Shock coma hypersensitivity pregnancy (D) closed angle glaucoma
Zantac (4)
Hypersensitivity
acute asthma attack
lower respiratory disease/ pneumonia
newborns and nursing mothers
Zofran (3)
Hypersensitivity
prolonged QT syndrome
concurrent use of apomorphine/apokyn for parkinsons
