DRUG: CONTRAS Flashcards
1
Q
CONTRAS: Adrenaline
A
Nil
2
Q
CONTRAS: Aspirin
A
- Allergy &/or ADR to Aspirin or NSAIDs
- Chest pain associated w psychostimulant OD
- Bleeding or clotting disorders
- Current GI bleeding or peptic ulcers
- Pt’s. <18yo
3
Q
CONTRAS: Ceftriaxone
A
- Allergy &/or ADR
- Known immediate or severe hypersensitivity to penicillin or carbapenem-based drugs
- Pt’s. <1mnth
4
Q
CONTRAS: Dexamethasone
A
- Allergy &/or ADR
- Children <6mnth or >6yo
- Steroid administration <4hrs
5
Q
CONTRAS: Fentanyl
A
- Allergy &/or ADR
6
Q
CONTRAS: Glucagon
A
- Allergy &/or ADR
7
Q
CONTRAS: Glucose gel
A
- Unconsciousness
- Pt’s. with difficulty swallowing
- Pt’s. <2yo
8
Q
CONTRAS: Glucose 10%
A
Nil
9
Q
CONTRAS: GTN
A
- Allergy &/or ADR
- HR <50 or >150bpm
- SBP <100mmHg
- Acute CVA
- Head trauma
- Phosphodiesterase 5 inhibitor medication administration within <24hrs/<48hrs
10
Q
CONTRAS: Hydrocortisone
A
- Allergy &/or ADR
11
Q
CONTRAS: Ibuprofen
A
- Allergy &/or ADR to any NSAID or Aspirin
- Concurrent NSAID therapy
- Current GI bleeding or peptic ulcers
- Dehydration &/or hypovolemia
- renal impairment
- NSAID-induced asthma
- Heart failure
- Pregnancy
- ACE inhibitor or ARB therapy
- Pt’s. <13 or >65yo
- Pt’s. taking anticoagulant medications
- Diuretic treatment
12
Q
CONTRAS: Ipratropium bromide
A
- Allergy &/or ADR
- Pt’s. <1yo
13
Q
CONTRAS: Loratadine
A
- Allergy &/or ADR
- Anaphylaxis
- Pt’s. <8yo
14
Q
CONTRAS: Methoxyflurane
A
- Allergy &/or ADR
- Pt’s. <1yo
- Hx. of significant liver or renal disease
- Hx. of malignant hyperthermia
15
Q
CONTRAS: Midazolam
A
- Allergy &/or ADR
16
Q
CONTRAS: Morphine
A
- Allergy &/or ADR
- Kidney disease
17
Q
CONTRAS: Naloxone
A
- Allergy &/or ADR
- Newly born Pt’s.
18
Q
CONTRAS: Ondansetron
A
- Allergy &/or ADR
- Congenital long QT syndrome
- Current apomorphine therapy
- Pt’s. <2yo
- 1st trimester pregnancy
19
Q
CONTRAS: Oxytocin
A
- Allergy &/or ADR
- Undelivered foetuses
20
Q
CONTRAS: Paracetamol
A
- Allergy &/or ADR
- Pt’s. <1mnth
21
Q
CONTRAS: Salbutamol
A
- Allergy &/or ADR
- Pt’s. <1yo
22
Q
CONTRAS: TXA
A
- Allergy &/or ADR
23
Q
CONTRAS: Modified Valsalva manoeuvre
A
- Requirement for immediate cardioversion
- Hypotension (SBP <90mmHg)
- AF/flutter
- Aortic stenosis
- Recent MI (<3mnths)
- Glaucoma
- Retinopathy
- 3rd trimester of pregnancy
24
Q
CONTRAS: CPAP
A
- Pt’s. <16yo
- GCS <8
- Inadequate ventilatory drive
- Hypotension (SBP <90mmHg)
- Pneumothorax
- Facial trauma
- Epistaxis