Contraindications Flashcards
(36 cards)
1
Q
Adrenaline : Contra
A
Nil
2
Q
Amiodarone : Contra
A
Torsades De Pointes
3
Q
Aspirin : Contra
A
- Allergy or hypersensitivity to Aspirin
- Active, suspected or known bleeding tendency
- < 16 yr old
- Patients meeting T1 trauma criteria
4
Q
Atropine : Contra
A
Nil
5
Q
Benzyl Penicillin : Contra
A
Life threatening allergic reaction to Penicillin
6
Q
Calcium Gluconate : Contra
A
Nil
7
Q
Clopidogrel : Contra
A
- Active, suspected or known bleeding tendency
- Allergy or hypersensitivity to Clopidogrel
- Any exclusion per Pre-hospital Thrombolysis Checklist
- < 18 yr old
- Pregnancy or breastfeeding
8
Q
Compound Sodium Lactate : Contra
A
Nil
9
Q
Droperidol : Contra
A
- Known or suspected hypersensitivity to Droperidol
- < 14 yr old
- Parkinson’s Disease
10
Q
Enoxaparin Sodium : Contra
A
- Allergy or hypersensitivity to Enoxaparin Sodium
2. Any exclusion per Pre-hospital Thrombolysis Checklist
11
Q
Fentanyl : Contra
A
- Altered LOC (V, P or U)
- Epistaxis or occluded nasal passages
- < 1 yr old
- Previous or known allergy or adverse reaction
- Pregnant women >= 20 weeks gestation in labour.
12
Q
Fexofenadine : Contra
A
- Allergy or hypersensitivity to Fexofenadine
- < 12 yr
- Previous administration of Fexofenadine within 24hrs
13
Q
Frusemide : Contra
A
- BP <100mmHg
2. < 16 yr old
14
Q
Glucagon : Contra
A
Nil
15
Q
Glucose 10% : Contra
A
Nil
16
Q
Glucose Gel : Contra
A
[-] LOC or altered gag reflex
17
Q
Glyceryl Trinitrate : Contra
A
- BP < 90mmHg
- Pulse rate < 50 or > 150 per minute
- < 16 yr old
- Use of drugs to treat erectile dysfunction:
Sildenafil (Viagra) - within 24hrs
Vardenafil (Levitra) - within 24hrs
Tadalafil (Cialis) - within 96hrs
18
Q
Hydrocortisone : Contra
A
- Known or suspected allergy to Corticosteroids, Sodium Succinate or Sodium Phosphate
- Active peptic ulcer disease
19
Q
Ibuprofen : Contra
A
- Active, known or suspected bleeding tendency
- Hx of allergic reactions to NSAIDs
- Pt with Asthma who have a Hx of wheeze post NSAID administration OR who have not previously taken an NSAID.
- Active peptic ulcer disease or GIT bleeding
- Dehydration
- Renal impairment
- Pregnancy
- Severe heart failure
- < 7 yr old
- Multiple previous doses:
- self administration within 4-6hrs and/or
- 1.2g (6 tablets) within 24hrs for >= 12 yrs of age or
- 800mg (4 tablets) within 24hrs for 7-12 yrs of age
20
Q
Influenza Vaccine : Contra
A
- Allergy or hypersensitivity to Influenza Vaccine
- Known anaphylactic hypersensitivity to egg proteinsk chicken proteins or any other vaccine component (e.g. neomycin)
- Acute febrile illness
21
Q
Ipratropium Bromide : Contra
A
- < 6 months of age
- Allergy or hypersensitivity to Ipratropium Bromide
- Glaucoma
22
Q
Ketamine : Contra
A
- Suspected or known allergy to Ketamine
- Known or suspected Hx of Psychosis
- < 14 yr old
- Known 1st or 2nd trimester pregnancy.
23
Q
Lignocaine : Contra
A
Allergy or hypersensitivity to Lignocaine
24
Q
Methoxyflurane : Contra
A
MUDCAP
- Malignant Hyperthermia
- Untreated renal failure
- Decreased LOC (V, P or U)
- Concurrent Tetracycline use (e.g. Doxycycline)
- Acute behaviourally disturbed patients
- Pre-eclampsia / eclampsia
- < 1 yr old
25
Metoclopramide : Contra
1. Suspected bowel obstruction
2. Suspected or known Haematemesis or Melaena
3. Previous Hx of Extrapyramidal / Dystonic reactions
4. Allergy or hypersensitivity to Metoclopramide
5. < 16 yr old
6. Parkinson's Disease.
26
Midazolam : Contra
Nil
27
Morphine : Contra
1. Altered LOC (V, P or U except pt requiring post intubation sedation and/or procedural sedation and analgesia)
2. Allergy or hypersensitivity to Morphine
3. Neonates < 40 weeks (corrected) age
4. Pregnant women >= 20 weeks gestation in labour.
28
Naloxone : Contra
Neonates born to opioid dependent mothers (due to risk of inducing opioid withdrawal)
29
Ondansetron : Contra
1. Concurrent Apomorphine administration
2. Allergy or hypersensitivity to Ondansetron
3. < 2 yr old
30
Oxygen : Contra
1. Paraquat poisoning if SpO2 > 90% on room air.
| 2. Concurrent use with Methoxyflurane except when administering oxygen via nasal prongs.
31
Oxytocin : Contra
Allergy or hypersensitivity to Oxytocin
32
Paracetamol : Contra
1. Allergy or hypersensitivity to Paracetamol
2. Liver failure
3. Multiple previous doses:
- self administration within 4 hrs and/or
- 4g (8 tablets) within 24 hrs for >= 12 yrs of age or
- 2g (4 tablets) within 24 hrs for 7-12 yrs of age
4. < 7 yr old.
33
Pralidoxime Chloride / Atropine : Contra
< 6 yr old
34
Salbutamol : Contra
Nil
35
Sodium Bicarbonate : Contra
Nil
36
Tenecteplase : Contra
1. Any exclusion via Prehospital Thrombolysis Checklist
| 2. < 18 yr old
