Drug Contraindications

Question 1

Acetaminophen (Ofirmev)

Answer 1

• <2 yrs old
• Severe hepatic impairment
• Severe active liver disease
• total daily dose ≥4000 mg

Question 2

Adenosine

Answer 2

• 2nd and 3rd degree heart block
• Sick Sinus Syndrome (without pacemaker)
• hx of COPD or Bronchospasm = BHO

Question 3

Albuterol

Answer 3

None

*peds: for croup/stridor (nebulized EPI is indicated)

Question 4

Amiodarone

Answer 4

• Hypotension
• 2nd and 3rd degree heart block
• Idioventricular rhythms

Question 5

Aspirin (Acetylsalicylic)

Answer 5

• none

Question 6

Atropine

Answer 6

• Asystole

Question 7

Atrovent

Answer 7

• none

Question 8

Calcium Chloride

Answer 8

• none

* adults only

Question 9

Charcoal

Answer 9

• isolated alcohol
• Heavy metal
• Caustic agent
• Hydrocarbons
• Iron Ingestion

Question 10

Dextrose

Answer 10

• none

Question 11

Diphenhydramine (Benadryl)

Answer 11

• none

Question 12

Dopamine

Answer 12

• none

Question 13

Epinephrine

Answer 13

• none

Question 14

Fentanyl

Answer 14

• none
• BHO for BP <100
• PEDS:
  
  • <10kg = IV/IN pdc BHO. MR pdc BHO
  • > 10kg = IV/IN pdc SO. MR pdc BHO…. max 75mcg

Question 15

Glucagon

Answer 15

• none

Question 16

Ketamine

Answer 16

• Pediatrics
• Pregnancy
• Severe Hypertension
• Alcohol Intoxicated

Question 17

Lidocaine

Answer 17

• 2nd and 3rd degree heart block

- Idioventricular rhythms

Question 18

Midazolam (Versed)

Answer 18

• none

Question 19

Narcan (Naloxone)

Answer 19

• none

Question 20

Nitroglycerin

Answer 20

• taken in the last 48 hours:
  
  • sexual enhancement drugs (Viagra, Cialis, Levitra)
  • pulmonary hypertension drugs (Sildenafil: Ravatio, Flolan, Veletri)

Question 21

Zofran (ondansetron)

Answer 21

• none

Question 22

Sodium Bicarbonate

Answer 22

• none