Medication contraindications

Question 1

Contraindications for Ketamine

Answer 1

Hypersensitivity
Acute Globe injury
Known pregnancy

Question 2

Contraindications for Ketorolac

Answer 2

Hypersensitivity
Renal Failure
Pregnancy
Anticoagulant usage
Bleeding/clotting disorder
Active/recent bleeds

Question 3

Contraindications for Fentanyl

Answer 3

Hypersensitivity

Question 4

Contraindications for Hydromorphone Hydrochloride

Answer 4

Hypersensitivity
Pediatrics
Labor
Respiratory depression
Hypotension

Question 5

Contraindications for Morphine

Answer 5

Hypersensitivity
Hypotension

Question 6

Contraindications for Etomidate

Answer 6

Hypersensitivity
Hypotension

Question 7

Contraindications for Midazolam

Answer 7

Hypersensitivity
Shock
Epidural
Closed angle glaucoma

Question 8

Contraindications for Proparacaine HCL

Answer 8

Ruptured globe
Hypersensitivity

Question 8

Contraindications for Lidocaine

Answer 8

Hypersensitivity

Question 9

Contraindications for Diazepam

Answer 9

Hypersensitivity
Pediatrics <6 months
Narrow angle glaucoma
Myasthenia Gravis
Respiratory depression

Question 10

Contraindications for Droperidol

Answer 10

Hypersensitivity
Angle Closure Glaucoma
CNS depression
QT prolongation
Lactation

Question 11

Contraindications for Ziprasidone

Answer 11

Hypersensitivity
QT prolongation
Hyperkalemia

Question 12

Contraindications for Lorazepam

Answer 12

Hypersensitivity
Comatose
Severe pain
Hypotension

Question 13

Contraindications for Epinephrine

Answer 13

None in the prehospital setting

Question 14

Contraindications for Nitroglycerin

Answer 14

Hypersensitivity
Systolic <90
Increased ICP
Hypovolemic shock
ED medication usage

Question 15

Contraindications for Aspirin

Answer 15

Hypersensitivity
GI bleed
Bleeding disorders
Pediatrics
Pregnancy >30 weeks

Question 16

Contraindications for Amiodarone

Answer 16

Hypersensitivity
Bradycardia
2-3 Heart Block w/out pacemaker
Cardiogenic shock

Question 17

Contraindications for Adenosine

Answer 17

Hypersensitivity
2-3 Heart block w/out pacemaker
Sick sinus syndrome

Question 18

Contraindications for Diltiazem

Answer 18

Hypersensitivity
Systolic <90
Sick sinus syndrome
Wolff-Parkinson-White
Wide QRS Tachycardia

Question 19

Contraindications for Atropine

Answer 19

Hypersensitivity
3rd degree heart block

Question 20

Contraindications for Calcium chloride

Answer 20

V-Fib
Asystole
Hypersensitivity

Question 21

Contraindications for Calcium Gluconate

Answer 21

Hypersensitivity
Hypercalcemia

Question 22

Contraindications for Metoprolol

Answer 22

Uncompensated heart failure
Hypersensitivity
Pulmonary edema
Cardiogenic shock
SSS/Bradycardia/Heart Block w/out pacemaker

Question 23

Contraindications for Norepinephrine

Answer 23

Hypersensitivity
Tachy-Dysrhythmias
Hypovolemia

Question 24

Contraindications for Heparin

Answer 24

Hypersensitivity Uncontrolled bleeding Thrombocytopenia Premature infants

Question 25

Contraindications for Oxytocin

Answer 25

Hypersensitivity Nonvaginal delivery

Question 26

Contraindications for Tranexamic Acid

Answer 26

Hypersensitivity Thrombotic disorders Subarachnoid hemorrhage Intravascular clotting

Question 27

Contraindications for Dopamine

Answer 27

Hypersensitivity Hypovolemic shock Tachyarrhythmia Vfib

Question 28

Contraindications for Furosemide

Answer 28

Hypersensitivity Renal failure Hypokalemia Hypotension Hypovolemia Pregnancy

Question 29

Contraindications for Magnesium Sulfate

Answer 29

Hypersensitivity Shock Dialysis High degree heart block V-Fib Pulseless V-tach Hypersensitivity

Question 30

Contraindications for Ipratropium

Answer 30

Hypersensitivity Heart Failure

Question 31

Contraindications for Albuterol

Answer 31

Hypersensitivity Heart failure

Question 32

Contraindications for Methylprednisolone

Answer 32

Hypersensitivity Fungal infection

Question 33

Contraindications for Diphenhydramine

Answer 33

Hypersensitivity Asthma Lactation

Question 34

Contraindications for Succinylcholine

Answer 34

Hyperkalemia Hypersensitivity

Question 35

Contraindications for Rocuronium

Answer 35

<3 months Hypersensitivity Neuromuscular agents

Question 36

Contraindications for Vecuronium

Answer 36

Hypersensitivity

Question 37

Contraindications for Glucagon

Answer 37

Hypersensitivity Insulinopenia Pheochromocytoma

Question 38

Contraindications for Dextrose

Answer 38

Hypersensitivity Hyperglycemia

Question 39

Contraindications for Promethazine

Answer 39

Pediatrics <2 Hypersensitivity Angle closure glaucoma Bladder obstruction

Question 40

Contraindications for Odansetron

Answer 40

Long QT Hypersensitivity

Question 41

Contraindications for Prochlorperazine

Answer 41

Hypersensitivity Liver/cardiovascular disease Pediatrics <2 Angle closure glaucoma

Question 42

Contraindications for Pralidoxime Chloride

Answer 42

Hypersensitivity

Question 43

Contraindications for Activated charcoal

Answer 43

Hypersensitivity Altered LOC Caustic substances

Question 44

Contraindications for Naloxone HCL

Answer 44

None in the prehospital setting

Question 45

Contraindications for Sodium Bicarbonate

Answer 45

Lack of need

Question 46

Contraindications for Hydroxocobalamin

Answer 46

Hypersensitivity

Question 47

Contraindications for Acetaminophen

Answer 47

Hypersensitivity Liver disease Taken in the past 4 hours

Question 48

Contraindications for Olanzapine

Answer 48

Pediatrics <13 years Hypersensitivity QT prolongation Pregnant/breast feeding Dementia

Question 49

Contraindications for Oral Glucose

Answer 49

Hypersensitivity Altered LOC Hyperglycemia