DRUG: CONTRAS Flashcards

1
Q

CONTRAS: Adrenaline

A

Nil

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2
Q

CONTRAS: Aspirin

A
  1. Allergy &/or ADR to Aspirin or NSAIDs
  2. Chest pain associated w psychostimulant OD
  3. Bleeding or clotting disorders
  4. Current GI bleeding or peptic ulcers
  5. Pt’s. <18yo
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3
Q

CONTRAS: Ceftriaxone

A
  1. Allergy &/or ADR
  2. Known immediate or severe hypersensitivity to penicillin or carbapenem-based drugs
  3. Pt’s. <1mnth
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4
Q

CONTRAS: Dexamethasone

A
  1. Allergy &/or ADR
  2. Children <6mnth or >6yo
  3. Steroid administration <4hrs
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5
Q

CONTRAS: Fentanyl

A
  1. Allergy &/or ADR
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6
Q

CONTRAS: Glucagon

A
  1. Allergy &/or ADR
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7
Q

CONTRAS: Glucose gel

A
  1. Unconsciousness
  2. Pt’s. with difficulty swallowing
  3. Pt’s. <2yo
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8
Q

CONTRAS: Glucose 10%

A

Nil

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9
Q

CONTRAS: GTN

A
  1. Allergy &/or ADR
  2. HR <50 or >150bpm
  3. SBP <100mmHg
  4. Acute CVA
  5. Head trauma
  6. Phosphodiesterase 5 inhibitor medication administration within <24hrs/<48hrs
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10
Q

CONTRAS: Hydrocortisone

A
  1. Allergy &/or ADR
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11
Q

CONTRAS: Ibuprofen

A
  1. Allergy &/or ADR to any NSAID or Aspirin
  2. Concurrent NSAID therapy
  3. Current GI bleeding or peptic ulcers
  4. Dehydration &/or hypovolemia
  5. renal impairment
  6. NSAID-induced asthma
  7. Heart failure
  8. Pregnancy
  9. ACE inhibitor or ARB therapy
  10. Pt’s. <13 or >65yo
  11. Pt’s. taking anticoagulant medications
  12. Diuretic treatment
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12
Q

CONTRAS: Ipratropium bromide

A
  1. Allergy &/or ADR
  2. Pt’s. <1yo
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13
Q

CONTRAS: Loratadine

A
  1. Allergy &/or ADR
  2. Anaphylaxis
  3. Pt’s. <8yo
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14
Q

CONTRAS: Methoxyflurane

A
  1. Allergy &/or ADR
  2. Pt’s. <1yo
  3. Hx. of significant liver or renal disease
  4. Hx. of malignant hyperthermia
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15
Q

CONTRAS: Midazolam

A
  1. Allergy &/or ADR
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16
Q

CONTRAS: Morphine

A
  1. Allergy &/or ADR
  2. Kidney disease
17
Q

CONTRAS: Naloxone

A
  1. Allergy &/or ADR
  2. Newly born Pt’s.
18
Q

CONTRAS: Ondansetron

A
  1. Allergy &/or ADR
  2. Congenital long QT syndrome
  3. Current apomorphine therapy
  4. Pt’s. <2yo
  5. 1st trimester pregnancy
19
Q

CONTRAS: Oxytocin

A
  1. Allergy &/or ADR
  2. Undelivered foetuses
20
Q

CONTRAS: Paracetamol

A
  1. Allergy &/or ADR
  2. Pt’s. <1mnth
21
Q

CONTRAS: Salbutamol

A
  1. Allergy &/or ADR
  2. Pt’s. <1yo
22
Q

CONTRAS: TXA

A
  1. Allergy &/or ADR
23
Q

CONTRAS: Modified Valsalva manoeuvre

A
  1. Requirement for immediate cardioversion
  2. Hypotension (SBP <90mmHg)
  3. AF/flutter
  4. Aortic stenosis
  5. Recent MI (<3mnths)
  6. Glaucoma
  7. Retinopathy
  8. 3rd trimester of pregnancy
24
Q

CONTRAS: CPAP

A
  1. Pt’s. <16yo
  2. GCS <8
  3. Inadequate ventilatory drive
  4. Hypotension (SBP <90mmHg)
  5. Pneumothorax
  6. Facial trauma
  7. Epistaxis