Contraindications

Question 1

ADRENALINE

Answer 1

• NO ABSOLUTE CONTRAINDICATIONS

Question 2

AMIODARONE

Answer 2

• NO CONTRAINDICATIONS IN CARDIAC ARREST
• NOT COMPATIBLE WITH SALINE

Question 3

ASPIRIN

Answer 3

• KNOWN HYPERSENSITIVITY TO ASPIRIN/SALICYLATES/NSAIDs

- CHILDREN < 16YO

Question 4

ATROPINE

Answer 4

• KNOWN HYPERSENSITIVITY
• PTS WITH CARDIAC TRANSPLANT

Question 5

COPHENYCAINE

Answer 5

• HYPERSENSITIVITY TO PHENYLEPHRINE, LIGNOCAINE OR OTHER ANAESTHETICS
• CHILDREN <2YO
• PREGNANCY

Question 6

FENTANYL

Answer 6

• HYPERSENSITIVTY TO FENTANYL
• <1YO (IV/IO ONLY)
• OCCLUDED NASAL PASSAGES OR EPISTAXIS (IN ONLY)

Question 7

GLUCAGON

Answer 7

• HYPERSENSITIVTY

- KNOWN PHEOCHROMOCYTOMA

Question 8

GLUCOSE 10%

Answer 8

• NO PATENT IV ACCESS

Question 9

GLUCOSE ORAL

Answer 9

• NIL

Question 10

GTN

Answer 10

• HYPERSENSITIVTY
• HYPOTENSION <90mmHg
• VT
• MEDICATIONS USED FOR ERECTILE DYSFUNCTION WITH 24 HOURS: SILDENAFIL, VARDENAFIL, AVANAFIL
• TADALAFIL: LAST 3 DAYS

Question 11

HEPARIN

Answer 11

• HYPERSENSITIVITY
• ACTIVE BLEEDING OR DISEASE STATES WITH INCREASED RISK OF BLEEDING: HAEMOPHILIA

Question 12

NORMAL SALINE

Answer 12

• SEVERE PULMONARY OEDEMA

Question 13

IPRATROPIUM BROMIDE

Answer 13

• HYPERSENSITIVITY

Question 14

KETAMINE

Answer 14

• HYPERSENSITIVITY
• ACTIVE CVD: CCP, HF, SEVERE OR POORLY CONTROLLED HTN
• PTS UNDER EXTENDED CARE (RAMPED)
• AGE <1
• DISTURBED OR ABNORMAL BEHAVIOUR THAT ARE CLEARLY NOT RASS 4 OR WHERE OTHER SEDATIVE AGENTS HAVE ALREADY BEEN ADMINISTERED

Question 15

LIGNOCAINE

Answer 15

• HYPERSENSITIVITY

Question 16

METHOXYFLURANE

Answer 16

• HYPERSENSIVITY: MALIGNANT HYPERTHERMIA
• PTS UNABLE TO UNDERSTAND/CO-OPERATE
• SEVERE RENAL IMPAIRMENT
• HEAD INJURY AND ALTERED CONSCIOUS STATE

Question 17

MIDAZOLAM

Answer 17

• HYPERSENSITIVITY
• ASMA CONSULT REQUIRED AFTER KETAMINE SEDATION

Question 18

NALOXONE

Answer 18

• HYPERSENSITIVITY

Question 19

ONDANSETRON

Answer 19

• HYPERSENSIVITY

- PTS <2YO

Question 20

OXYGEN

Answer 20

• NORMOXIA

- EXPLOSIVE/FLAMMABLE ENVIRONMENTS

Question 21

PARACETAMOL

Answer 21

• HYPERSENSITIVITY
• PT HAD PANADOL IN LAST 4/24
• CANNOT EXCEED MAX. ALLOWED SINGLE DOSE OR DAILY DOSE

Question 22

PREDNISOLONE

Answer 22

• HYPERSENSITIVITY TO CORTICOSTERIODS
• LIVE VIRUS IMMUNISATION WITHIN LAST 48 HOURS
  - – MMR, CHICKEN POX, YELLOW FEVER

Question 23

SALBUTAMOL

Answer 23

• HYPERSENSITIVITY
• CARDIOGENIC PULM OEDEMA
• AGE <12 MONTHS

Question 24

DROPERIDOL

Answer 24

• known allergy
• known Parkinson’s disease
• where ketamine has been administered to sedate this episode
• age <6
• postictal disturbed and abnormal behaviour

Question 25

TXA

Answer 25

- HYPERSENSITIVITY - INJURY TIME MORE THAN 3 HOURS

Question 26

OLANZEPINE

Answer 26

- KNOWN ALLERGY - KNOWN PARKINSONS DISEASE - <6 YEARS OLD