Pharmacology Contraindications

Question 1

NALOXONE - Contraindications

Answer 1

Patients < 30 days of age

Question 2

IPRATROPIUM BROMIDE - Contraindications

Answer 2

• Allergy or hypersensitivity to ipratropium bromide
• Glaucoma

Question 3

METOCLOPRAMIDE – Contraindications

Answer 3

• suspected bowel obstruction
• suspected or known haematemesis or melaena
• previous history of extrapyramidal/dystonic reaction
• Allergy or hypersensitivity to metoclopramide
• patients less than 16 years of age

Question 4

MORPHINE - Contraindications

Answer 4

• Altered LOC (V,P or U with the exception of patients requiring post intubation sedation)

• Allergy or hypersensitivity to morphine

• Patients < 6 months of age

P A L

Question 5

FRUSEMIDE - Contraindications

Answer 5

• BP < 100mmHg systolic
• Patients < 16 years of age

Question 6

ONDANSETRON - Contraindications

Answer 6

• Concurrent apomorphine administration
• Allergy or hypersensitivity to ondansetron
• Patients < 2 years of age

Question 7

FEXOFENADINE - Contraindications

Answer 7

• Allergy or hypersensitivity to fexofenadine
• Patients < 12 years of age

Question 8

METHOXYFLURANE - Contraindications

Answer 8

• Malignant hyperthermia
• ↓LOC – V,P or U
• Pre-eclampsia or eclampsia
• Concurrent tetracycline use (e.g. doxycycline)
• Untreated renal failure
• Patients < 1 year of age
• Acute behaviourally disturbed patients

Question 9

FENTANYL - Contraindications

Answer 9

• Altered LOC (V,P or U)

• Epistaxis or occluded nasal passages

• Patients <1 year of age

• Previous known allergy or adverse reaction

Note: Allergy to morphine is not a contraindication to fentanyl administration

P A L E

Question 10

GLYCERYLTRINITRATE - Contraindications

Answer 10

• BP <100mmHg
• Heart rate <50 or >150/min
• Patients <16 years of age
• Use of drugs to treat erectile dysfunction e.g.
  
  • Sildenafil ‐ Viagra® ‐ within 24 hours
  • Vardenafil ‐ Levitra® ‐ within 24 hours
  • Tadalafil ‐ Cialis® ‐ within 96 hours

Question 11

ASPIRIN - Contraindications

Answer 11

• Allergy or hypersensitivity to aspirin
• Active, suspected or known bleeding tendency
• Patients < 16 years of age
• Patients meeting T1 Major Trauma criteria

Question 12

GLUCOSE GEL - Contraindications

Answer 12

• ↓LOC or altered gag reflex
• Patients < 2 years of age

Question 13

Lignocaine – contraindications

Answer 13

Allergy or hypersensitivity to lignocaine.

Question 14

KETAMINE - Contraindications

Answer 14

• Suspected or known allergy to ketamine
• Patients with known or suspected history of psychosis
• Patients <14 years of age

Question 15

MIDAZOLAM - Contraindications

Answer 15

• ↓LOC resul