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Medic 42 Studying > Drug Contraindications/Orders/Adverse Effects > Flashcards

Drug Contraindications/Orders/Adverse Effects Flashcards

1
Q

Acetaminophen (Contraindications/Orders/Adverse Effects)

A

Contraindications:
<2 years of age
Severe hepatic impairment
Active Liver disease
If known or suspected total dose exceeds 4,000mg in 24hr period

BHPO:
IADS-P

Adverse Effects:
Nausea, vomiting
Headache

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2
Q

Adenosine (Contraindications/Adverse Effects)

A

Contraindications:
2nd or 3rd degree AV heart blocks
Sick Sinus Syndrome (Without Pacemaker)

Adverse Effects: “StanleyCupFinalDallasTexas”
SOB/Dyspnea
Chest pressure/Palpitations
Facial flushing/headache
Dizziness/lightheadedness
Transient arrhythmias; generally not treated and self-limiting

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3
Q

Albuterol (Contraindications/Adverse Effects)

A

Contraindications:
PEDS: Avoid for croup/stridor (neb saline/epi is indicated)

Adverse Effects: “TDT”
Tachycardia/Palpitations
Dizziness, headache
Tremors, nervousness

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4
Q

Amiodarone Hydrochloride (Contra/Adverse)

A

Contra:
2nd and 3rd degree heart blocks
Idioventricular rhythms

Adverse:
Hypotension
Bradycardia

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5
Q

Aspirin (Contra/Adverse)

A

Contra:
None

Adverse:
Gi upset
Heartburn

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6
Q

Atropine Sulfate (Contra/Adverse)

A

Contra:
None

Adverse:
Tachycardia/Palpitations
Dry mouth/nausea/vomiting
Pupil dilation/blurred vision
Flushed/hot/dry skin

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7
Q

Calcium Chloride (Contra/Adverse)

A

Contra:
none

Adverse:
Hypotension
Infusion site reaction (burning/inflammation)

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8
Q

Charcoal (Contra/Adverse)

A

Contra: “LICHH”
Liquid ingestions
Inorganic ions
Caustic agents
Heavy metals
Hydrocarbons

Adverse:
Nausea/vomiting

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9
Q

Dextrose (Contra/Adverse)

A

Contra:
None

Adverse:
Local venous irritation/reaction
Hyperglycemia

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10
Q

Diphenhydramine (Contra/Adverse)

A

Contra:
None

Adverse: “DDHP”
Drowsiness/Sedation (excitement in children)
Dry mouth
Hypotension
Palpitations

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11
Q

Epinephrine Push and 1:1 (Contra/Adverse)

A

Contra:
none

Adverse: “VAPHI”
Ventricular irritability
Anxiety/restlessness
Palpitations/tachyarrhythmias
Hypertension
Increased myocardial O2 demands

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12
Q

Fentanyl (Contra/BHPO/Adverse)

A

Contra:
None

BHPO:
IADSP

Adverse:
Resp. depression
Decreased LOC
Transient hypotension
Nausea/vomiting

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13
Q

Glucagon (Contra/adverse)

A

Contra:
None

Adverse:
Nausea/vomiting (in high doses)
Tachycardia/HTN

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14
Q

Ipratropium Bromide (Contra/Adverse)

A

Contra:
None

Adverse:
Dizziness
Headache
Cough
Blurred vision / eye irritation (with direct contact of mist)

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15
Q

Ketamine (Contra/BHPO/Adverse)

A

Contra:
Peds <15 YO
For sedation or dissociative effects

BHPO: “IADS” Ketamine does not push P

Adverse:
Dissociative effects -
Euphoria (pleasant, dream-like states, vivid imagery)
Dysphoria (unpleasant, anxiety, disorientation, hallucinations)

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16
Q

Levalbuterol (Contra/Adverse)

A

Contra:
PEDS: avoid for croup stridor (Neb saline/epi indicated)
<6 years of age

Adverse:
Tachycardia/Palpitations
Dizziness/headache
Tremors, nervousness

17
Q

Lidocaine (Contra/Adverse)

A

Contra:
2nd and 3rd degree blocks
Idioventricular rhythms

Adverse:
Hypotension
Nausea

18
Q

Midazolam (Contra/Adverse)

A

Contra:
None

Adverse:
Resp. depression/Apnea

19
Q

Morphine Sulfate (Contra/BHPO/Adverse)

A

Contra:
None

BHPO:
IADSP

Adverse:
Resp. depression
Decreased LOC
Transient hypotension
Nausea/vomiting

20
Q

Naloxone (Contra/Adverse)

A

Contra:
Ineffective for patients in cardiac arrest

Adverse:
Acute withdrawal symptoms
Nausea/vomiting
Combativeness

21
Q

Nitroglycerin (Contra/Adverse)

A

Contra:
Pt who has taken ED meds within 48 hours
Pt’s taking meds for pulmonary hypertension
Suspected intracranial bleed

Adverse:
Orthostatic hypotension
Dizziness/syncope
Temp. pulsating headache

22
Q

Ondansetron (Contra/Adverse)

A

Contra:
<6 months of age

Adverse:
Dizziness
Headache

23
Q

Sodium Bicarbonate (Contra/Adverse)

A

Contra:
none

Adverse:
Electrolyte/pH imbalance

24
Q
A

Medic 42 Studying (6 decks)

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