Contraindications-Table 1

Question 1

Ibuprofen

Answer 1

Hypersensitivity, children less than six months old, GI intolerance such as colitis

Question 2

Procainamide

Answer 2

Hypersensitivity, 2nd and 3rd Degree AV Blocks, myasthenia gravis

Question 3

Tylenol

Answer 3

Hypersensitivity to acetaminophen phenacetin

Question 4

Ketorolac

Answer 4

NSAID allergy; ASA sensitive Asthma; known peptic ulcer disease; recent GI bleed; renal failure; confirmed Cerebrovascular bleeding; recent CABG; pregnancy

Question 5

Fentanyl Citrate

Answer 5

Myasthenia Gravis, hypersensitivity to opiates, MAOI use

Question 6

oxygen

Answer 6

none

Question 7

Diazepam (Valium)

Answer 7

Known Hypersensitivity, shock, coma, acute alcohol intoxication

Question 8

Lorazapam (ativan)

Answer 8

Hypersensitivity to benzodiazepines, acute narrow-angle glaucoma, coma, shock, acute alcohol intoxication

Question 9

Midazolam (Versed)

Answer 9

Hypersensitivity to benzodiazepines, acute narrow-angle glaucoma, coma, shock, acute alcohol intoxication

Question 10

Succinylcholine

Answer 10

Acute narrow angle glaucoma, penetrating eye injuries, family history of malignant hyperthermia, hyperkalemia, 24-48 hours post severe trauma including burns, disorder of pseudocholinesterase neuromuscular disorders such as myasthenia gravis or ALS.

Question 11

Epinephrine (Adrenaline)

Answer 11

hypersensitivity to sympathomimetic amines

Question 12

Vasopressin (Pitressin)

Answer 12

Chronic nephritis, ischemic heart disease, PVC’s first stage of labor

Question 13

Lidocaine (Xylocaine)

Answer 13

Hypersensitivity, supraventricular dysrhythmias, untreated sinus block, 2nd degree mobitz II AV block, 3rd degree AV block, stoke-adams syndrome

Question 14

Amiodarone

Answer 14

Hypersensitivity, cardiogenic shock, severe sinus bradycardia, AV block

Question 15

Atropine Sulfate

Answer 15

none in the emergent setting

Question 16

Adenosine (Adenocard)

Answer 16

2nd and 3rd degree AV blocks, symptomatic bradycardia, sick sinus syndrome, hypersensitivity

Question 17

Diltiazem (Cardizem)

Answer 17

Hypersensitivity, sick sinus syndrome, 2nd and 3rd degree AV block, hypotension, WPW, wide complex tachycardia

Question 18

Metoprolol (Lopressor)

Answer 18

Hypersensitivity, sinus bradycardia, heart block greater than 1st degree (except in patients with a functioning artificial pacemaker) cardiogenic shock (BP <100), uncompensated cardiac failure, pregnancy (2nd and 3rd trimesters) asthma, COPD

Question 19

Dopamine (Intropin)

Answer 19

Pheochromocytoma, tachydysrhythmias, ventricular fibrillation

Question 20

Dobutamine (Dobutrex)

Answer 20

Hypersensitivity, VT

Question 21

Aspirin

Answer 21

Hypersensitivity

Question 22

Nitroglycerin

Answer 22

Hypersensitivity, head trauma, patients in shock (systolic BP<90mmHg) Patients with increased ICP (Head Trauma

Question 23

Sodium Bicarbonate (NaHCO3)

Answer 23

none in the emergent setting

Question 24

Magnesium Sulfate

Answer 24

Do not administer to any patient with heart block, shock, persistent hypertension, hypocalcemia, or myocardial infarction

Question 25

Oxytocin

Answer 25

Hypersensitivity and prior to delivery of the fetus. Adminstration prior to delivery may cause fetal hypoxia, asphyxia, and dysrhythmias.

Question 26

Albuterol (Proventil, Ventolin)

Answer 26

Hypersensitivity

Question 27

Ipratropium bromide (Atrovent)

Answer 27

Hypersensitivity to ipratropium, atropine, soya lecithin and peanut oil.

Question 28

Methylprednisolone

Answer 28

None in the management of anaphylaxis

Question 29

50% Dextrose in water (D50W or D50)

Answer 29

None in a patient with documented hypoglycemia

Question 30

Glucagon (GlucaGen)

Answer 30

Known Hypersensitivity

Question 31

Diphenhydramine (Benadryl)

Answer 31

Hypersensitivity, newborns and nursing mothers

Question 32

Haloperidol (Haldol)

Answer 32

Hypersensitivity, children, alcohol intoxication, coma

Question 33

Naloxone (Narcan)

Answer 33

Known Hypersensitivity

Question 34

Furosemide (Lasix)

Answer 34

Hypersensitivity, hypotension, dehydration and electrolyte depletion

Question 35

Hydrooxocobolamin (CyanoKit)

Answer 35

Hypersensitivity to any component of the medication including cobalt

Question 36

Calcium Chloride

Answer 36

VF, hyppercalcemia, digitalis toxicity

Question 37

Activated Charcoal

Answer 37

Poisonings by cyanide, mineral acids, caustic alkalis, organic solvents, iron, ethanol, methanol

Question 38

Morphine Sulfate

Answer 38

Hypersensitivity, undiagnosed head injury, hypovolemia or severe hypotension, acute asthma, COPD, respiratory depression