Contraindications

Question 1

Gout

Answer 1

CI for diuretics; increases uric acid retention in the body

Question 2

Asthma

Answer 2

Beta blockers - can constrict airways - can recommend cardioselective Beta blockers if they are needed.

Question 3

Parkinsons

Answer 3

Metoclopramide

Question 4

Diabetes

Answer 4

Beta blockers - make it harder to tell when BG is low

Question 5

Elderly in general

Answer 5

Sedating drugs; drugs that decrease blood pressure; anticholinergics - including confusion, dry mouth, blurry vision, constipation, urinary retention, decreased perspiration, and excess sedation, and increased risk of dementia;

Question 6

Peptic Ulcer Disease

Answer 6

Aspirin - GI bleeding

Question 7

Heart failure

Answer 7

NSAIDs - worsens HF

Question 8

Epilepsy

Answer 8

TCAs - Lowers seizure threshold, esp if toxic levels, metoclopramide, a lot of drugs tbh

Question 9

Renal failure/decreased renal function

Answer 9

NSAIDs - renal failure
Any drug that is excreted by the kidneys realistically (penicillins, cephalosporins, aminoglycosides, tetracycline, BBs, diuretics, Li+, digoxin, procainamide, cimetidine, ranitidine, etc.)

Question 10

Congestive HF

Answer 10

CCBs - Worsens HF