Contraindications

Question 1

Adenosine Contra-indications

Answer 1

Asthma
Wolff-Parkinson-White Syndrome
Chronic Obstructive Pulmonary Disease (COPD)
Decompensated Heart Failure
Long QT Syndrome
2º and3º AV Block
Severe Hypotension
Sick Sinus (unless pacemaker fitted)
KSAR

Question 2

Amiodarone

Contra-indications

Answer 2

KSAR

Known Hypersensitivity To Iodine

Question 3

Aspirin

Contra-indications

Answer 3

Active symptomatic gastro-intestinal ulcer
Bleeding disorder (e.g. Haemophilia)
KSAR
Patients < 16 yrs old (risk of Reye’s Syndrome)

Question 4

Atropine

Contra-indications

Answer 4

KSAR

Post-cardiac Transplantation

Question 5

Ceftriaxone

Contra-indications

Answer 5

Age <1 month
KSAR
Hx of Severe Hypersensitivity (anaplylactic reaction) to any Beta-lactam antibacterial (Penicillins, Cephalosporins, Aztreonam, Meropenem, Ertapenem)

Question 6

Chlorphenamine

Contra-indications

Answer 6

KSAR

Pre-coma States

Question 7

Clopidogrel

Contra-indications

Answer 7

KSAR
Active Pathological Bleeding
Severe Liver Impairment

Question 8

Cyclizine

Contra-indications

Answer 8

KSAR

Question 9

Dextrose 10% Solution Contra-indications

Answer 9

KSAR

Question 10

Epinephrine 1:10,000

Contra-indications

Answer 10

KSAR

Question 11

Epinephrine 1:1,000

Contra-indications

Answer 11

None Known

Question 12

Fentanyl Contra-indications

Answer 12

<1 year old
Known fentanyl hypersensitivity
ALoC
Bilateral occluded nasal passage
Nasal trauma
Epistaxis
Hypovolaemia.

Question 13

Furosemide

Contra-indications

Answer 13

Pregnancy
Known Hypokalaemia
KSAR

Question 14

Glucagon

Contra-indications

Answer 14

<1 year old
KSAR
Phaeochromocytoma

Question 15

Glucose Gel

Contra-indications

Answer 15

KSAR

Question 16

GTN

Contraindications

Answer 16

Sys BP <90 mmHg
Viagra or other Phosphodiesterase type 5 inhibitors (sildenafil,taladafil, vardenafil) used within previous 24 hours
Severe Mitral Stenosis
KSAR

Question 17

Hydrocortisone

Contra-indications

Answer 17

No major contraindications in acute management of anaphylaxis

Question 18

Ibuprofen

Contra-indications

Answer 18

Not suitable for children under 3 months
Patient with history of asthma exacerbated by aspirin
Pregnancy
Peptic ulcer disease
Known Renal Failure
Known Severe Liver Failure
Known Severe Heart Failure
Concurrent NSAID use
KSAR

Question 19

Ipratropium Bromide

Contra-indications

Answer 19

KSAR

Question 20

Ketamine Contra-indications

Answer 20

Acute porphyrias (rare enzyme disorder)
Pre-eclampsia
Eclampsia
Head Trauma
Hypertension
Severe Cardiac Disease
Stroke
KSAR

Question 21

Lidocaine

Contra-indications

Answer 21

No contraindications for cardiac arrest

Question 22

Magnesium Sulphate Injection

Contra-indications

Answer 22

None in Cardiac Arrest

KSAR

Question 23

Methoxyflurane Contra-indications

Answer 23

<5 years old
Altered LOC due to head injury, drugs or alcohol
Cardiovascular instability
Respiratory Depression
Renal Failure or Impairment
KSAR

Question 24

Midazolam Solution

Contra-indications

Answer 24

Shock
Respiratory depression
KSAR
Depressed vital signs or alcohol related altered level of consciousness

Question 25

Morphine | Contra-indications

Answer 25

``` PO < 1 Year old Labour pains Acute intoxication Acute respiratory depression Sys BP < 90mmHg KSAR ```

Question 26

Naloxone | Contra-indications

Answer 26

KSAR

Question 27

Nifedipine | Contra-indications

Answer 27

Hypotension | KSAR

Question 28

Nitrous Oxide 50% and Oxygen 50% (Entonox) | Contra-indications

Answer 28

``` Shock Chest Injury / Pneumothorax Altered Level of Consciousness Recent Scuba Dive Inhalation Injury Decompression Sickness Intestinal Obstruction Carbon Monoxide poisoning KSAR ```

Question 29

Ondansetron | Contra-indications

Answer 29

KSAR

Question 30

Oxygen Contra-indications

Answer 30

Bleomycin (Cancer Drug) lung injury

Question 31

Oxytocin Contra-indications

Answer 31

Severe Cardiac Dysfunction | KSAR

Question 32

Paracetamol Contra-indications

Answer 32

<1 month old KSAR Chronic Liver disease

Question 33

Salbutamol | Contraindications

Answer 33

KSAR

Question 34

Sodium Bicarbonate Injection | Contraindications

Answer 34

KSAR

Question 35

Sodium Chloride 0.9% Contra-indications

Answer 35

KSAR

Question 36

Ticagrelor Contra-indications

Answer 36

Hypersensitivity to the active substance (Ticagrelor) or to any of the excipients Active Pathological Bleeding Hx of Intracranial Haemorrhage Moderate to Severe Hepatic Impairment

Question 37

Tranexamic Acid Contra-indications

Answer 37

Hypersensitivity to the active substance or to any of its excipients Acute venous or arterial thrombosis History of convulsions Known Severe Renal Impairment