Precautions Flashcards
Lean precautions for QAS drugs
Adrenalin precautions
- Patients taking monoamine oxidase inhibitors (MAOIs)
- Hypovolaemic shock
- Hypertension
Aspirin precautions
• Possible aortic aneurysm or any other condition that may require surgery
• Pregnancy
• History of GI bleeding or peptic ulcers
• Concomitant anticoagulant therapy
(excluding clopidogrel)
Box Jellyfish Anitvenom
• The antivenom is a foreign protein, which
can cause sensitisation, allergic reaction
or anaphylaxis
Ceftiraxone
TRICK there are none
Fentanyl
• Elderly patients • Hypotension • Respiratory tract burns • Respiratory depression and/or failure • Known addiction to narcotics • Patients taking monoamine oxidase inhibitors (MAOIs)
Glucagon
none
Glucose 10% precautions
Tissue and/or vascular necrosis secondary
to extravasation
Glucose Gel precautions
none
Glyceryl Trinitrate precautions
• 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
Iprtropium bromide precautions
•
Glaucoma
•
Prostatic hypertrophy
Methoxyflurane
•
ALOC
•
Intoxicated or drug affected patients
Metoclopramide
•
GI haemorrhage
•
Patients with bowel obstruction or perforation
Midazolam precautions
• 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
Morphine precautions
• Elderly patients • Hypotension • Respiratory tract burns • Respiratory depression and/or failure • Known addiction to narcotics • Patients taking monoamine oxidase inhibitors (MAOIs)
Naloxone precautions
•
Use with caution on patients with
pre-existing cardiac disease
Oxygen precautions
•
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
Ondansetron complictions/preacautions
•
Hepatic impairment
•
Intestinal obstruction
Paracetamol complications/precautions
•
Hepatic or renal dysfunction
•
Patients taking anticoagulant medications
Salbutamol precautions
•
Acute pulmonary oedema
•
Ischaemic heart disease
Sodium chloride 0.9% precations
•
Patients with acute and/or history of heart failure
•
Pre-existing renal failure
•
Uncontrolled haemorrhage (unless associated
with severe head injury)
