Precautions

Question 1

Adrenalin precautions

Answer 1

• Patients taking monoamine oxidase inhibitors (MAOIs)
• Hypovolaemic shock
• Hypertension

Question 2

Aspirin precautions

Answer 2

• Possible aortic aneurysm or any other condition that may require surgery
• Pregnancy
• History of GI bleeding or peptic ulcers
• Concomitant anticoagulant therapy
(excluding clopidogrel)

Question 3

Box Jellyfish Anitvenom

Answer 3

• The antivenom is a foreign protein, which
can cause sensitisation, allergic reaction
or anaphylaxis

Question 4

Ceftiraxone

Answer 4

TRICK there are none

Question 5

Fentanyl

Answer 5

•
Elderly patients
•
Hypotension
•
Respiratory tract burns
•
Respiratory depression and/or failure
•
Known addiction to narcotics
•
Patients taking monoamine oxidase inhibitors (MAOIs)

Question 6

Glucagon

Answer 6

none

Question 7

Glucose 10% precautions

Answer 7

Tissue and/or vascular necrosis secondary

to extravasation

Question 8

Glucose Gel precautions

Answer 8

none

Question 9

Glyceryl Trinitrate precautions

Answer 9

•
Suspected inferior AMI
•
Cerebral vascular disease
•
Risk of hypotension and/or syncope
•
Intoxication (GTN effects are enhanced)
•
Erectile dysfunction medication in the previous 4 days

Question 10

Iprtropium bromide precautions

Answer 10

•
Glaucoma
•
Prostatic hypertrophy

Question 11

Methoxyflurane

Answer 11

•
ALOC
•
Intoxicated or drug affected patients

Question 12

Metoclopramide

Answer 12

•
GI haemorrhage
•
Patients with bowel obstruction or perforation

Question 13

Midazolam precautions

Answer 13

•
Reduced dosages may be required in elderly
patients, patients with chronic renal failure,
congestive cardiac failure, or shock
•
Can cause severe respiratory depression
in patients with COPD
•
Myasthenia gravis
•
Multiple sclerosis

Question 14

Morphine precautions

Answer 14

•
Elderly patients
•
Hypotension
•
Respiratory tract burns
•
Respiratory depression and/or failure
•
Known addiction to narcotics
•
Patients taking monoamine oxidase inhibitors (MAOIs)

Question 15

Naloxone precautions

Answer 15

•
Use with caution on patients with
pre-existing cardiac disease

Question 16

Oxygen precautions

Answer 16

•
Patients with paraquat poisioning or bleomycin lung injury may be harned by supplemental oxygen. Avoid oxygen unless the patient is hypoxaemic – target SpO2 88–92%
•
Prolonged administration to premature neonates
•
High concentrations given to COPD patients
with hypoxic drive

Question 17

Ondansetron complictions/preacautions

Answer 17

•
Hepatic impairment
•
Intestinal obstruction

Question 18

Paracetamol complications/precautions

Answer 18

•
Hepatic or renal dysfunction
•
Patients taking anticoagulant medications

Question 19

Salbutamol precautions

Answer 19

•
Acute pulmonary oedema
•
Ischaemic heart disease

Question 20

Sodium chloride 0.9% precations

Answer 20

•
Patients with acute and/or history of heart failure
•
Pre-existing renal failure
•
Uncontrolled haemorrhage (unless associated
with severe head injury)