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Drug Cards > Meds Contra/Indications > Flashcards

Meds Contra/Indications Flashcards

1
Q

(Larger Vol/s of NS) Indications:
Contraindications:

A

= Low& High BP w/ hemostasis, Diaphoresis, Blood loss 1-2, Low cardiac output,
= Blood loss 3&4, heart clot,

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2
Q

Adenosine) indications:

contraindications

A

= 1st med stable narrow complex SVT, Reg/ & monomorphic wide-complex Tcardia thought from reentry SVT (SVT w/ BBB)
= TdP, Poison/drug-Tcardia, 2nd or 3rd AVB, WPW, DOESNT CONVERT A-FIB/FLUTTER

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3
Q

Albuterol) Indications:
Contraindications:

A

=Brocospasm, Anaphylaxsis/Asthma, Hyperkalemia
= jitters & Known hypersensitivity

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4
Q

(Atropine) indications:

Contraindications:
Avoid:

A

= 1st med/ for symptomatic sinus Bcardia, Maybe beneficial AV block, Organophosphate poisoning (large dose r/q) hypothermic Bcardia
= Allergic to drug, Use w/ extreme caution w/ myocardial ischemia
= causes increased myocardial O2 demand so caution w/ Hblock & Doses <0.5mg may result in paradoxical slowing of the heart
May not be effective for infranodal blocks- be prepared to pace

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5
Q

(Calcium Chloride) indications:

Contraindications:

A

= Hyper/o/kalemia, Treatment of affects by Ca Chanel blocker OD, HypoBP 2ndary to admin/ of Diltiazem
= cardiac arrest (Unless hyperkalemia suspected)PTs taking Digoxin w/ suspected calcium Chanel blocker OD

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6
Q

(Captopril) indications
Contraindications

A

= Severe CHF (w/ HTN) in conjunction w/ Nitrates & CPAP
=Pregnancy , Angioedema, Hypersensitivity to ACH inhibitors

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7
Q

(Diltiazem/Cardizem)indi/s:

Contraindications:

A

= 1st med for AFib/Flutter w/ RVR (>150bpm), 2nd med for SVT refractory to Adenosine
= hypoBP, CHF/cardio/shock, Wide-complex Tcardia, WPW, Hypersensitivity

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8
Q

(Dopamine) indications:

Contraindications:

A

= CHF, HypoBP w/ shock signs, 2nd med for sympathetic Bcardia (after Atropine)
= hypovolemic PTs til’ vol/ replaced, pheochromocytoma, Dont mix w/ sodium bicarb

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9
Q

(Enalapril) indications:
Contraindication:

A

= severe CHF (w/ HTN) in conjunction w/ Nitrates & CPAP
= Pregnancy, Angioedema, Hypersensitivity to ACE inhibitors

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10
Q

Epinephrine 1:10,000) Indications:
Contraindications:

A

= Cardiac arrest, Bcardia, Normovolemic hypoBP, Anaphylaxis, Asthma
= rewards over risks so really none

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11
Q

Furosemide) indications:

Contraindications:

A

= Acute pulmonary edema in PTs w/ SBP >90-100 (w/o signs of shock) Hypertensive emergencies
= Hypovol/, HypoBP, HypoK, other electrolyte abnormalities

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12
Q

(Labetalol) Indications:

Contraindications:

A

= 2nd med/ for SVT after admin/ Adenosine, A-Fib/Flutter w/ RVR, myocardial ischemia in AMI PTs w/ +HRs, Antihypertensive
= Increased risk of cardiogenic shock Hypotension Bradycardia, STEMI w/signs of heart failure Low cardiac out

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13
Q

Lidocaine) Ind:

Contra:

A

= Stable monomorphic VT w/ preserved LVF & Alternative to Amiodarone in cardiac arrest by VF/pVT
= PT received IV Ca channel blockers, Not given prophylactically in AMI setting

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14
Q

Mag-Sulfate) Indi:

Contra:

A

= cardiac arrest only if (Tdp) suspected, Tdp w/ pulse
= AMI not recommended, High degree AV block, HypoBP, VFib/Tach

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15
Q

Midazolam) indications:
Contraindications:

A

= Active seizures, RSI induction, Chemical restraint, Anxiety, Sedation
= History of hypersensitivity to drug

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16
Q

(Morphine) indications:
Contraindications:

A

= Ischemic chest pain not relieved by Nitro
= Known hypersensitivity to drug Uncorrected hypoBP (SBP<90)

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17
Q

(Nitroglycerin) indications:
Contraindications

A

= Symptoms suggestive of Myocardial ischemia CHF
= HypoBP (SBP<90 or >30 below baseline BP) <50bpm, >100bpm, Use of phosphodiesterase inhibitors (Boner pills) in last 48 hours, Increased ICP

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18
Q

(NORepi) Indi:
Contra:

A

= Normovolemic hypotension, Septic shock, Cardiogenic shock
= hypovolemia PTs til’ Vol/replacement occurred

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19
Q

(Ondansetron) indi/s:
Contra:

A

= Prevent/control N/B
= Known hypersensitivity to med

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20
Q

(Procainamide) indications:

Contra:

A

=V-Tach w/ pulse, Pre-excitation rhythms (WPW)
=Shouldn’t admin to PTs received IV Ca channel blocker

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21
Q

(Sodium Bicarbonate) indications:

Contraindications:

A

= Suspected hyperkalemia & bicarbonate-responsive acidosis (DKA, OD w/: TCA, Aspirin, Cocaine)
= PTs in cardiac arrest, precipitates with med admin/ed

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22
Q

(Verapamil) indications:

Contraindications:

A

= 2nd med for A-Fib/Flutter w/ RVR, May use as alterative after adenosine, narrow QRS complex Tcardia w/ preserved LV Fn.
= SBP<90), CHF/cardio/ shock, Wide-complex Tcardia, WPW, Hypersensitivity

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23
Q

Acetaminophen) Indications:
Contra:

A

= pain management (Nonopioid Analgesic/Antipyretic Fever)
= AMS

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24
Q

Activated Charcoal) Indications:
Contra:

A

= Most oral poisonings/overdoses
= ↓ LOC, OD of corrosives, caustics, petroleum substances.

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25
Q

Aspirin) Indications:
Contra:

A

= Cardiac S/S w/ ischemic etiology/suspected MI
= Allergy to medication. Bronchospasm, Angioedema

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26
Q

Diazepam) Indications:
Contra:

A

= Tcardia by stimulant OD, Substain seizure, Anxiety, Sedation
= Hypersensitivity

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27
Q

Droperidol) Indications:
Contra:

A

= Severe agitation, Antipsychotic, Excited delirium/Mania
= suspected QT prolongation

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28
Q

Etomidate) Indications:
Contra:

A

= Sedation / SFI/RSI
= Hypersensitivity

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29
Q

Flumazenil) Indications:
Contra:

A

= Benzodiazepines OD
= Hypersensitivity

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30
Q

Haloperidol) Indications:
Contra:

A

= Psychosis, chemical restraint, Excited Delirium
= Parkinson’s, Acute CNS injury, Hypersensitivity, <6 y/o

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31
Q

Hydroxocobalamin) Indications:
Contra:

A

= Suspected cyanide poisoning
= Hypersensitivity

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32
Q

Ibuprofen)Indications:
Contra:

A

= Mild - moderate pain, Fever, Inflammation.
= Hypersensitivity, Bronchospasm, Angioedema.

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33
Q

Ketamine) Indications:
Contra:

A

= Sedation, SFI/RSI, Analgesic
= Hypersensitivity

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34
Q

Ketorolac (Toradol) Indications:
Contra:

A

= Mild-moderate pain, Fever, Inflammation, Renal calculi
= Hypersensitivity, Bronchospasm, Angioedema

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35
Q

Levalbuterol (Xopenex) Indications:
Contra:

A

= Bronchospasm, Allergies/anaphylaxis, Hyperkalemia
= Hypersensitivity

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36
Q

Lorazepam) Indications:
Contra:

A

= Sustained seizures, anxiety, sedation, chemical restraint
= Hypersensitivity

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37
Q

Methylene Blue) Indications:
Contra:

A

= Methemoglobinemia (metHb), Nitrate OD/poisoning
= Hypersensitivity

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38
Q

Midazolam (Versed) Indications:
Contra:

A

= Active seizures, Chemical restraint, Anxiety, RSI/SFI, Sedation
= Hypersensitivity

39
Q

Morphine) indications:
Contra:

A

= Ischemic chest pain not relieved by Nitro & Analgesia
= Hypersensitivity. Uncorrected hypotension (<90 SBP)

40
Q

Nubain) Indications:
Contra:

A

= Moderate to severe pain
= Hypersensitivity, respiratory depression.

41
Q

Rocuronium) Indi:
Contra:

A

=DSI/RSI
= Hypersensitivity

42
Q

Sodium Bicarbonate 8.4%) Indications:

Contra:

A

= Suspected hyperkalemia, suspected bicarbonate responsive acidosis (DKA, OD on TCA’s, Aspirin or Cocaine)
= Patients in cardiac arrest

43
Q

Succinylcholine) Indications:
Contra:

A

= DSI/RSI
= HyperK (burns, Crush/Compartment synd), +ICP, Severe trauma

44
Q

Thiamine) Indications:
Contra:

A

=Coma of unknown origin, Wernicke’s encephalopathy,
Delirium tremens.
= Hypersensitivity

45
Q

Vecuronium) Indications:
Contra:

A

= DSI/RSI
= Hypersensitivity

46
Q

Dexamethasone) Indications:
Contra:

A

= Anaphylaxis, Bronchial asthma, COPD
= Hypersensitivity, Fungal infection

47
Q

Dextrose 50%) Indications:
Contra:

A

= Correction of hypoglycemia
= Known hyperglycemia

48
Q

Diazepam) Indications:
Contra:

A

= TachyC from stimulant OD, Sustained seizure, Anxiety, Sedation,
= Hypersensitivity

49
Q

Diphenhydramine) Indications:
Contra:

A

= Allergic-R, anaphylaxis, extrapyramidal reactions, sedation
= Hypersensitivity

50
Q

Dobutamine) Indications:
Contra:

A

= Cardiac pump problems (CHF) w/ hypoBP
= hypovolemia until fluid replacement has been administered. (Do not mix with Sodium Bicarb.)
2-20 mcg/kg/min - titrate so heart rate does not
Increase by >10% of baseline.

51
Q

Dopamine) Indications:

Contra:

A

= CHF, hypoBP w/ shock S/S, 2nd med w/ bradyC after atropine
= hypovolemic PTs til’ appropriate vol/ replacement occurred, Known Hx Pheochromocytoma, Don’t mix w/ Sodium Bicarb (DO NOT OPEN WIDE OPEN)

52
Q

Droperidol) Indications:
Contra:

A

= Severe agitation, Antipsychotic, excited delirium
= suspected QT prolongation

53
Q

Enalapril) Indications:
Contra:

A

= Severe CHF (W/ HTN) in conjuction w/ Nitrates & CPAP.
= Pregnancy, Angioedema, Hypersensitivity to ACE inhibitors

54
Q

Epinephrine 1:1)Indications:
Contra:

A

=Severe bronchospasm, Allergies/anaphylaxis
=Few, Benefits vs. risk

55
Q

Epinephrine 1:10) Indications:
Contra:

A

=Cardiac arrest, bradyC, Normovol/ hypoBP, anaphylaxis
= Few

56
Q

Etomidate) Indications:
Contra:

A

=Anesthetic w/o analgesic & Sedation / SFI/RSI
=Hypersensitivity

57
Q

Fentanyl) Indications:
Contra:

A

= Moderate-Severe pain
= Hypersensitivity, SBP<90

58
Q

Flumazenil) Indications:
Contra:

A

= Benzodiazepines overdose (Benzodiazepine Antagonist)
= Hypersensitivity

59
Q

Furosemide) Indications:
Contra:

A

= Acute pulmonary edema in PTs w/ SBP>90-100 (w/o signs of shock), Hypertensive emergencies.
= Hypovol, HypoBP, HypoK or other pos/ electrolyte abnormalities

60
Q

Glucagon) Indications:
Contra:

A

= Hypoglycemia, BradyC suspected from ßeta/Ca channel blocker OD
= Hypersensitivity, Bradycardia from other etiology

61
Q

Haloperidol ) Indications:
Contra:

A

=Psychosis, chem restraint
= Parkinson’s disease, Acute CNS injury, Hypersensitivity, <6 y/o

62
Q

Hydroxocobalamin) Indications:
Contra:

A

= Suspected cyanide poisoning
=Hypersensitivity

63
Q

Ibuprofen) Indications:
Contra:

A

= Mild-moderate pain, Fever, Inflammation.
=Hypersensitivity, Bronchospasm, Angioedema.

64
Q

Ipratropium (Atrovent) Indications:
Contra:

A

= Bronchospasm associated w/ obstructive lung diseases
=Hypersensitivity

65
Q

Ketamine) Indications:
Contra:

A

=Anesthetic Sedation / SFI/RSI / Dissociative anesthetic
= Hypersensitivity
= Sedation: 1-2 mg/kg Onset: 30-60 secs, Lasts: 10-20 mins

66
Q

Ketorolac (Toradol)Indications:
Contra:

A

= Mild-moderate pain, Fever, Inflammation, Renal calculi.
= Hypersensitivity, Bronchospasm, Angioedema

67
Q

Levalbuterol (Xopenex) Indications:
Contra:

A

=Bronchospasm, Allergies/anaphylaxis, Hyperkalemia
=Hypersensitivity

68
Q

Lorazepam) Indications:
Contra:

A

= Sustained seizures, anxiety, sedation, chem restraint
= Hypersensitivity

69
Q

Magnesium Sulfate) Indications:
Contra:

A

= Asthma, (TdP) w/ or w/o a pulse, Eclampsia w/ active seizure
= Routine admin in PT’s w/AMI not recommended, High-degree HB, Shock, Dialysis, Hypocalcemia, V-fib/pulseless V-Tach,

70
Q

Methylene Blue) Indications:
Contra:

A

= Methemoglobinemia (metHb), Nitrate overdose/poisoning = =Hypersensitivity

71
Q

Metoprolol) Indications:
Contra:

A

= Hypertension, 2nd line med for A-Fib or A-Flutter w/ RVR, & SVT
= HR<45, 2nd or 3rd degree heart block

72
Q

Midazolam) Indications:
Contra:

A

= Active seizure, Chem restraint, Anxiety, Induct RSI/SFI), Sedation
= Hypersensitivity

73
Q

Morphine) Indications:
Contra:

A

= Ischemic chest pain not relieved by Nitro, moderate pain
= Hypersensitivity. Uncorrected SBP<90

74
Q

Naloxone (Narcan) Indications:
Contra:

A

= Suspected Opiate overdose w/ respiratory depression
= Hypersensitivity

75
Q

Nitroglycerin) Indications:
Contra:

A

= Symptoms suggest MI (farc/schem), CHF, SBP<90, <50 BPM
= >100 BPM, RVI, Use of phosphodiesterase inhibitors (Boner Pills) last 48hours), Increased ICP

76
Q

Norepinephrine) Indications:
Contra:

A

= Normovolemic hypoBP, Sepsis, Cardiogenic shock
= Shouldn’t use in hypovol/ til’ vol/ replacement occurred

77
Q

Nubain) Indications:
Contra:

A

= Moderate to severe pain
= Hypersensitivity, respiratory depression

78
Q

Ondansetron (Zofran) Indications:
Contra:

A

= Prevention & control of Nausea and/or vomiting
= Hypersensitivity

79
Q

Procainamide) Indications:
Contra:

A

= VT w/pulse, pre-excitation rhythms (WPW)
= Shouldn’t; PT’s that received an IV Ca-channel blocker

80
Q

Promethazine (Phenergan) Indications:
Contra:

A

=Nausea & Vomiting, Preoperative sedation, motion sickness.
= Hypersensitivity, Respiratory diseases(Asthma), Pedi <2 y/o

81
Q

Racemic Epi ) Indications:
Contra:

A

= Nonselective ß sympathetic agonist for Croup
=Hypersensitivity

82
Q

Rocuronium) Indications:
Contra:

A

= DSI/RSI
= Hypersensitivity

83
Q

Sodium Bicarbonate 8.4%) Indications:

Contra:

A

= Suspected hyperK, suspected bicarbonate responsive acidosis (DKA, OD on TCA’s, Aspirin or Cocaine)
= Patients in cardiac arrest

84
Q

Solu-Medrol ) Indications:
Contra:

A

= Bronchial asthma, COPD, Anaphylaxis
= Hypersensitivity

85
Q

Succinylcholine) Indications:
Contra:

A

= DSI/RSI
= Hyperkalemia (burns, crush/compartment syndrome), +ICP, Severe trauma, Neuromuscular disease.

86
Q

Terbutaline (Brethine) Indications:
Contra:

A

= Bronchial asthma,. Reversible airway obstruction
associated w/ brochitis or emphysema, Preterm labor,
= Hypersensitivity & PTs under 12 years old

87
Q

Thiamine) Indications:
Contra:

A

= Coma of unknown orgin, Wernicke’s encephalopathy, Delirium tremens
=Hypersensitivity

88
Q

Tranexamic Acid (TXA) Indications:
Contra:

A

= Sig/ hemorrhage, either in/external (after external hemorrhage is controlled)
= SP 3 hrs past injury, allergy/Sensitivity, Suspected thromboembolism

89
Q

Vecuronium) Indications:
Contra:

A

= DSI/RSI
= Hypersensitivity

90
Q

Verapamil) Dynamics:
Indications:
Contra:
Dose:

A

= 2nd line med for A-Fib/Flutter w/ RVR. May use as alterative after adenosine, narrow QRS TachyC w/ preserved LV Fn
= HypoBP, CHF/Cardio shock, WPW, Wide-complex TachyC, sensitivity

91
Q

(Propofol/ Diprivan) Indication:
Contra:

A

= Sedation
= HypoBP,

92
Q

(Haloperidol/ Haldol) Indications:
Contraindications:
Others:

A

= Psychosis
= Known Hypersensitivity, Hypotension
= Hypotension w/ PTs taking Anti-hypertensives

93
Q

Glucagon) Indications:
Contra:

A

= Hypoglycemia, BradyC suspected bi ßeta/Ca blocker OD
= Hypersensitivity, Bradycardia from other etiology

Drug Cards (13 decks)

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