AV - All Medication CONTRAINDICATIONS Flashcards
To be able to recall, verbatim, ALL Contraindications for AV ALS medications, especially at 3am on a long-ass night shift (28 cards)
1
Q
Adrenaline
A
Hypovolaemic shock without adequate fluid replacement.
2
Q
Aspirin
A
- C-hest pain assoc. w/ psychostimulant OD if SBP > 160
(e. g. methamphetamines, cocaine) - H-ypersensitivity to aspirin / salicyclates (naturally occuring in some foods)
- A-ctively bleeding peptic ulcers
(sore on lining of oesophagus, stomach, or small intestine) - B-leeding disorders
(e. g. haemophilia, Von Willebrand Disease) - S-uspected dissecting aortic aneurysm
(sudden, severe “ripping/tearing” pain in chest / upper back pain rad. to neck / down back and w/ SOB)
3
Q
Ceftriaxone
A
Allergy to Cephalosporin ABs
4
Q
Dexamethasone
A
Known hypersensitivity
5
Q
Dextrose 10%
A
NIL
6
Q
Fentanyl
A
- Hx of hypersensitivity
2. Late 2nd stage labour
7
Q
Glucagon
A
NIL
8
Q
Glyceryl Trinitrate
A
- Known hypersensitivity
- SBP < 110 (tablet)
- SBP < 90 (patch)
- Sildenafil Citrate (Viagra) or Vardenafil (Levitra) in previous 24 hrs; Tadalafil (Cialis) in previous 4 days (PDE5 inhibitors)
- HR > 150
- HR < 50 (excl. AD)
- VT
- Inferior STEMI w/ SBP < 160
- Right ventricular MI
9
Q
Heparin
A
- known allergy / hypersensitivity
- active bleeding (excl. menses)
- oral anticoagulants
- bleeding disorders
- hx of heparin-induced thrombocytopaenia (HIT)
- severe hepatic impairment / disease
- recent trauma / surgery (< 3 wks)
10
Q
Ipratropium Bromide
A
Known hypersensitivity to Atropine / its derivatives
11
Q
Ketamine
A
Susp. non-TBI w/ severe hypertension (SBP > 180)
12
Q
Lidocaine (Lignocaine)
A
Known hypersensitivity to lidocaine / related local anaesthetics
13
Q
Methoxyflurane
A
- Pre-existing renal disease / impairment
- Exceeding total daily dose 6 mL in 24 hrs
- Concurrent use of tetracycline ABs
- Pers / fam hx of malignant hyperthermia
- Muscular dystrophy
14
Q
Midazolam
A
Known hypersensitivity to benzodiazepines
15
Q
Morphine
A
- Hx of hypersensitivity
- Renal impairment / failure
- Late 2nd stage labour
16
Q
Naloxone
A
NIL
17
Q
Normal Saline
A
NIL
18
Q
Olanzapine
A
NIL
19
Q
Ondansetron
A
- Known hypersensitivity
- Concurrent Apomorphine use
- Known long Q-T syndrome
- Hypokalaemia or Hypomagnesaemia
20
Q
Oxytocin
A
- Previous hypersensitivity
- Severe toxaemia (pre-eclampsia)
- Exclude multiple pregnancy before drug administration
- Cord prolapse
21
Q
Paracetamol
A
- Hypersensitivity to paracetamol
- < 1/12
- Paracetamol in prev. 4/24
- Paracetamol daily max: adult 4g, paeds 60mg/kg
- Chest pain in susp. acute coronary syndrome
22
Q
Procholorperazine
A
- Pts < 21 yrs
- Pregnancy
- Prev. hypersensitivity
- Circulatory collapse (cool, pale, clammy, tachycardic, hypotension)
- CNS depression
23
Q
Salbutamol
A
NIL
24
Q
Tenecteplase
A
- major surgery in past 3/12
- significant head injury in past 3/12
- major trauma in past 3/12
- stroke / TIA in past 3/12
- ICH at any time
- GI or GU bleed in past 1/12
- current bleeding disorder, active bleeding (excl. menses), or bleeding tendencies
- anticoagulants or glycoprotein IIb / IIIa inhibitors
- allergy to tenecteplase or gentamicin
25
Water for injection
NIL
26
NO Contras (7)
sugar-sugar-na-Na... "Sal-Lanza" & water
Dextrose 10%; Glucagon; naloxone; NaCl; Salbutamol; Olanzapine, and Water for inj.
27
Multiple CI's (11)
"GAMPaPrOnOxMF-TH"
```
G-TN: 9;
A-spirin: 5;
M-ethoxyflurane: 5;
P-aracetamol: 5; P-rochlorperazine: 5
O-ndansetron: 4; O-xytocin: 4;
M-orphine: 3;
F-entanyl: 2
```
28
Single CI's only (7)
"MAL-DICK"
```
M-idazolam; A-drenaline; L-ignocaine;
D-examethasone;
I-pratropium bromide;
C-eftriaxone;
K-etamine
```
