Contraindications Flashcards
(24 cards)
Adrenaline
Contraindications
Adrenaline
✘ Nil
Aspirin
Contraindications
Aspirin
✘ Allergy AND/OR Adverse Drug Reaction to aspirin OR any NSAID
✘ Chest pain associated with psychostimulant OD
✘ Bleeding OR clotting disorders (haemophilia)
✘ Current GI bleeding OR peptic ulcers
✘ Patient < 18 years
Ceftriaxone
Contraindications
Ceftriaxone
✘ Allergy AND/OR Adverse Drug Reaction to cephalosporin antibiotics
✘ Known immediate OR severe hypersensitivity to penicillin OR carbapenem based drugs
✘ Patient < 1 month *** call QAS Consultation
Dexamethasone
Contraindications
Dexamethasone
✘ Allergy AND/OR Adverse Drug Reaction
✘ Children less than 6 months OR greater than 6 years of age (consult)
✘ Steroid administration within 4 hours
Droperidol
Contraindications
Droperidol
✘ Allergy AND/OR Adverse Drug Reaction
✘ Parkinson’s disease
✘ Known Lewy body dementia
✘ Previous dystonic reaction to droperidol
✘ Patients < 8 years
✘ Suspected sepsis *** call QAS Consultation
Fentanyl
Contraindications
Fentanyl
✘ Allergy AND/OR Adverse Drug Reaction
Glucagon
Contraindications
Glucagon
✘ Allergy AND/OR Adverse Drug Reaction
Glucose gel
Contraindications
Glucose gel
✘ Unconsciousness
✘ Patients with difficulty swallowing
✘ Patients < 2yrs
Glucose 10%
Contraindications
Glucose 10%
✘ Nil
Glyceryl trinitrate
Contraindications
Glyceryl trinitrate
✘ Allergy AND/OR Adverse Drug Reaction
✘ Heart rate < 50 OR > 150 beats per minute
✘ Systolic BP < 100 mmHg
✘ Acute CVA
✘ Head trauma
✘ Phosphodiesterase inhibitor medication administration:
- Sildenafil OR vardenafil in the previous 24 hours
- Tadalafil in the previous 48 hours
Hydrocortisone
Contraindications
Hydrocortisone
✘ Allergy and/or Adverse Drug Reaction
Ibuprofen
Contraindications
✘ Allergy and/or Adverse Drug Reaction to any NSAID OR aspirin
✘ Concurrent NSAID therapy
✘ Current GI bleeding OR peptic ulcers
✘ Dehydration AND/OR hypovolaemia
✘ Renal impairment
✘ NSAID induced asthma
✘ Heart failure
✘ Pregnancy
✘ Angiotensin converting enzyme (ACE) inhibitor OR Angiotensin II receptor blocker
(ARB) therapy
✘ Patients less than 13 years OR older than 65 years of age
✘ Patients taking anticoagulant medications
✘ Diuretic treatment
Ipratropium bromide
Contraindications
Ipratropium bromide
✘ Allergy and/or Adverse Drug Reaction
✘ Patients less than 1 year of age
Loratadine
Contraindications
Loratadine
✘ Allergy and/or Adverse Drug Reaction
✘ Anaphylaxis
✘ Patients less than 8 years of age
Methoxyflurane
Contraindications
Methoxyflurane
✘ Allergy and/or Adverse Drug Reaction
✘ Patients < 1 year
✘ History of significant liver or renal disease
✘ History of malignant hyperthermia
Midazolam
Contraindications
Midazolam
✘ Allergy and/or Adverse Drug Reaction
Morphine
Contraindications
Morphine
✘ Allergy and/or Adverse Drug Reaction
✘ Kidney disease (renal failure)
Naloxone
Contraindications
Naloxone
✘ Allergy and/or Adverse Drug Reaction
✘ The newly born patient
Ondansetron
Contraindications
Ondansetron
✘ Allergy and/or Adverse Drug Reaction
✘ Congenital long QT syndrome
✘ Current apomorphine therapy (used in severe Parkinson’s disease)
✘ Patients less than 2 years of age
✘ First trimester pregnancy (may only be administered for extreme and uncontrolled hyperemesis)
Oxytocin
Contraindications
Oxytocin
✘ Allergy and/or Adverse Drug Reaction
✘ Undelivered fetuses
Paracetamol
Contraindications
Paracetamol
✘ Allergy and/or Adverse Drug Reaction
✘ Patients < 1 month old
Salbutamol
Contraindications
Salbutamol
✘ Allergy and/or Adverse Drug Reaction
✘ Patients less than 1 year
Sucrose 24%
Contraindications
Sucrose 24%
✘ Patients greater than 12 months of age
✘ Sucrose intolerance
- Congenital sucrase-isomaltase deficiency (CSID)
✘ Fructose intolerance
✘ Glucose-galactose malabsorption
✘ Concurrent muscle relaxant/paralysis therapy
Tranexamic acid
Contraindications
Tranexamic acid
✘ Allergy and/or Adverse Drug Reaction
