Medication Contraindications

Question 1

Aspirin

Answer 1

1. Hypersensitivity
2. Actively bleeding peptic ulcers
3. Bleeding disorders
4. suspected AAA
5. Chest pain associated with psychostimulant OD

Question 1

Adrenaline

Answer 1

Hypovalemic Shock without adequate fluid replacement

Question 2

Ceftriaxone

Answer 2

Allergy to cephalosporin

Question 3

Dexamethasone

Answer 3

Hypersensitivity

Question 4

Dextrose 10%

Answer 4

Nil

Question 5

Droperidole

Answer 5

Nil

Question 6

Fentanyl

Answer 6

1.Hypersenitivity
2.Late 2nd stage Labour
3.Serotonon Syndrome
4.MAOIS within 14 days

Question 7

Glucagon

Answer 7

Nil

Question 8

GTN

Answer 8

1.BP<100
2.HR>150
3.HR<50
4.VT
5.PDE5 Inhibitors
6.Riociguat
7.Bleeding in pregnancy

Question 9

Heparin

Answer 9

1. Hypersensitivity
2. Active bleeding
3. Oral anticoagulants
4. bleeding disorders
5. Hx of heparin induced thrombocytepenia
6. Severe hepatic impairment +Oesophageal varices
7. Recent trauma or surgery <3weeks

Question 10

Hydrocortisone

Answer 10

Nil

Question 11

Ipatropium bromide

Answer 11

known hypersentivity to atropine and its deriviatives

Question 12

Ketamine

Answer 12

Suspected non traumatic brain injury with severe Hypertension SBP>180

Question 13

Lidocaine

Answer 13

Known hypersensitivity to Lignocaine or related anaesthetics

Question 14

Methoxyflurane

Answer 14

1.Pre-existing renal disease
2.Malignant hyperthermia

Question 15

Midazolam

Answer 15

Known hypersensitivity to benzos

Question 16

Naloxone

Answer 16

Nil

Question 17

NS

Answer 17

NIL

Question 18

Olanzapine

Answer 18

Nil

Question 19

Ondansetron

Answer 19

Apomorphine use

Question 20

Oxytocin

Answer 20

nil, provided all babies have been born

Question 21

Paracetamol

Answer 21

Children < 1 month of age

Question 22

Prochlorperazine

Answer 22

1.CNS- depression (i.e unconscious or severely intoxicated)
2.Patients <21yrs

Question 23

Salbutamol

Answer 23

Nil

Question 24

Tenecteplase

Answer 24

1.Major surgery 2.significant head injury in the past 3 months 3.Major trauma in past 3 months 4.Stroke/tia in the past 3 months 5.ICH at any time 6.GI or genitourinary bleed in the past month 7.Current bleeding disorder or bleeding tendencies 8.Anticoagulants or glycoprotein llb/lla inhibitors 9.Allergy to tenecteplase or gentamicin

Question 25

Tranexamic Acid

Answer 25

Injury occured >2hours prior to administration