Contraindications-Table 1 Flashcards Preview

Pharmacology Manual > Contraindications-Table 1 > Flashcards

Flashcards in Contraindications-Table 1 Deck (38):
1

Ibuprofen

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

2

Procainamide

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

3

Tylenol

Hypersensitivity to acetaminophen phenacetin

4

Ketorolac

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

5

Fentanyl Citrate

Myasthenia Gravis, hypersensitivity to opiates, MAOI use

6

oxygen

none

7

Diazepam (Valium)

Known Hypersensitivity, shock, coma, acute alcohol intoxication

8

Lorazapam (ativan)

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

9

Midazolam (Versed)

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

10

Succinylcholine

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.

11

Epinephrine (Adrenaline)

hypersensitivity to sympathomimetic amines

12

Vasopressin (Pitressin)

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

13

Lidocaine (Xylocaine)

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

14

Amiodarone

Hypersensitivity, cardiogenic shock, severe sinus bradycardia, AV block

15

Atropine Sulfate

none in the emergent setting

16

Adenosine (Adenocard)

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

17

Diltiazem (Cardizem)

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

18

Metoprolol (Lopressor)

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

19

Dopamine (Intropin)

Pheochromocytoma, tachydysrhythmias, ventricular fibrillation

20

Dobutamine (Dobutrex)

Hypersensitivity, VT

21

Aspirin

Hypersensitivity

22

Nitroglycerin

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

23

Sodium Bicarbonate (NaHCO3)

none in the emergent setting

24

Magnesium Sulfate

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

25

Oxytocin

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

26

Albuterol (Proventil, Ventolin)

Hypersensitivity

27

Ipratropium bromide (Atrovent)

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

28

Methylprednisolone

None in the management of anaphylaxis

29

50% Dextrose in water (D50W or D50)

None in a patient with documented hypoglycemia

30

Glucagon (GlucaGen)

Known Hypersensitivity

31

Diphenhydramine (Benadryl)

Hypersensitivity, newborns and nursing mothers

32

Haloperidol (Haldol)

Hypersensitivity, children, alcohol intoxication, coma

33

Naloxone (Narcan)

Known Hypersensitivity

34

Furosemide (Lasix)

Hypersensitivity, hypotension, dehydration and electrolyte depletion

35

Hydrooxocobolamin (CyanoKit)

Hypersensitivity to any component of the medication including cobalt

36

Calcium Chloride

VF, hyppercalcemia, digitalis toxicity

37

Activated Charcoal

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

38

Morphine Sulfate

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