drug contraindications

Question 1

Adenosine (6)

Answer 1

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

Question 2

Albuterol (2)

Answer 2

known hypersensitivity

tachydysrhythmias

Question 3

Amioderone (6)

Answer 3

pulmonary congestion
cardiogenic shock
amioderone sensitivity
bradycardia
procainamide use
TCA overdose

Question 4

Aspirin (4)

Answer 4

active bleeding disorders
under 18
pregnancy (D)
known hypersensitivity

Question 5

Atropine (6)

Answer 5

NONE IN ARREST
Myasthenia gravis
closed angle glaucoma
A fib and A flutter
known hypersensitivity
thyrotoxicosis
urinary tract obstruction

Question 6

Atrovent (1)

Answer 6

known sensitivity to atropine or bromide

Question 7

Benadryl (3)

Answer 7

Hypersensitivity
acute asthma attack
lower respiratory tract infection

Question 8

Calcium (3)

Answer 8

Hypercalcemia
dig toxicity
VF during resuscitation

Question 9

Dextrose (2)

Answer 9

Intracranial hemorrhage

Closed head injury

Question 10

Dilaudid (5)

Answer 10

Hypovolemia
Hypotension
Hypersensitivity
Head injury with altered mental status
status asthmaticus

Question 11

Diltiazem (10)

Answer 11

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

Question 12

Dopamine (5)

Answer 12

women on oxytocin
tachydysrhythmias 
VT/VF
uncorrected hypovolemia
known pheochromocytoma

Question 13

Epinephrine (1)

Answer 13

hypersensitivity

none in arrest or severe anaphylaxis

Question 14

Famotidine (4)

Answer 14

Hypersensitivity
acute asthma attack
lower respiratory tract disease/pneumonia
newborns and nursing mothers

Question 15

Fentanyl (6)

Answer 15

hypovolemia
hypotension
myasthenia gravis
MAOI antidepressants (Nardil, Parmate) within 2 weeks
hypersensitivity
head injury

Question 16

Glucagon (3)

Answer 16

known hypersensitivity
known insulinoma
known pheochromocytoma

Question 17

Haldol (3)

Answer 17

coma
severe CNS depression
Parkinson’s disease

Question 18

Ketamine (7)

Answer 18

Hypertensive crisis (HTN/tachycardia)
meth use
acute globe injury/ glaucoma
schizophrenia
AMI, angina
intracranial hemorrhage
aortic dissection

Question 19

Lidocaine (2)

Answer 19

advanced AV block

adams-stokes

Question 20

Magnesium (3)

Answer 20

heart block
MI
hypermagnesaemia

Question 21

Morphine (5)

Answer 21

hypovolemia
hypotension
MAOI within 14 days
hypersensitivity
head injury

Question 22

Narcan (1)

Answer 22

known hypersensitivity

Question 23

Oral Glucose

Answer 23

none

Question 24

Oxytocin (1)

Answer 24

make sure baby and placenta are delivered and that there isn’t another baby

Question 25

Phenylephrine (1)

Answer 25

hypersensitivity to sympathomimetic amines

Question 26

Rocuronium (1)

Answer 26

sensitivity to drug class

Question 27

Sodium Bicarbonate (5)

Answer 27

``` none in severe hypoxia and cardiac arrest metabolic and respiratory alkalosis severe pulmonary edema hypokalemia hypocalcemia hypernatremia ```

Question 28

Solu-Medrol (3)

Answer 28

systemic fungal infections TB Cushing's disease

Question 29

Succinylcholine (4)

Answer 29

hypersensitivity HX of malignant hyperthermia Hx of skeletal muscle myopathy (rhabdo) penetrating eye injury

Question 30

Tetracaine (2)

Answer 30

hypersensitivity to PABA, sulfites | open or penetrating eye injury

Question 31

Valium (5)

Answer 31

``` Shock Coma Respiratory depression Hypersensitivity, closed angle glaucoma ```

Question 32

Vecuronium (1)

Answer 32

hypersensitivity

Question 33

Versed (5)

Answer 33

``` Shock coma hypersensitivity pregnancy (D) closed angle glaucoma ```

Question 34

Zantac (4)

Answer 34

Hypersensitivity acute asthma attack lower respiratory disease/ pneumonia newborns and nursing mothers

Question 35

Zofran (3)

Answer 35

Hypersensitivity prolonged QT syndrome concurrent use of apomorphine/apokyn for parkinsons