Medications (quick contraindication/side effect) Flashcards Preview

San Diego EMS Protocols 2019 > Medications (quick contraindication/side effect) > Flashcards

Flashcards in Medications (quick contraindication/side effect) Deck (24)
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1

Acetaminophen

Contraindications:
-<2 years of age
-Severe hepatic impairment
-Severe active liver disease
-If known or suspected total dose exceeding 4000mg in a 24-hour period

Side Effects:
-Nausea, vomiting
-Headache, sleep problems
-Constipation
-Itching, agitation
-Partial or total lung collapse in pediatric patients

2

Adenosine

Contraindications:
-2nd and 3rd degree AV heart blocks
-Sick sinus syndrome (without pacemaker)

Side Effects:
-SOB/Dyspnea; may cause bronchospasm in COPD patients (BHO)
-Chest pressure/palpitations
-Facial flushing/headache
-Dizzy/lightheadedness
-Nausea
-Transient arrhythmias (PVC's, PAC's, sinus bradycardia, AV block, sinus tach, or asystole) These are generally not treated and are quickly self-limiting.

3

Albuterol

Contraindications:
-None in adults
-Peds: croup/stridor (nebulized saline/epinephrine is indicated)

Side Effects:
-Tachycardia/palpitations
-Dizziness, headache
-Tremors, nervousness

4

Amiodorone Hydrochloride

Contraindications:
-Hypotension
-2nd & 3rd degree heart blocks
-Idioventricular rhythms

Side Effects:
-Hypotension
-Exacerbation of presenting arrhythmia
AFTER DAYS OF USE
-Liver injury
-Pulmonary injury: pulmonary infiltrates, bronchospasm, SOB cough, hemoptysis, hypoxia

5

Aspirin

Contraindications:
-None

Side Effects:
-GI upset (indigestion, nausea/vomiting, epigastric pain, heartburn)
-Occult or prolonged bleeding

6

Atropine Sulfate

Contraindications:
-Asystole

Side Effects:
-Tachycardia/palpitations
-Dry mouth/nausea/vomiting
-Pupil dilation/blurred vision
-Flushed/hot/dry skin

7

Atrovent

Contraindications:
-None

Side Effects:
-Nervous/dizziness
-Headache
-Cough
-Paradoxical bronchospasm
-Palpitations
-Blurred vision/eye irritation (with direct contact of mist)

8

Calcium Chloride

Contraindications:
-None

Side Effects:
-Decreased heart rate (may cause asystole)
-Hypotension
-Syncope
-Nausea/vomiting
-Metallic taste

9

Charcoal

Contraindications:
-Isolated alcohol
-Heavy metal
-Caustic agent
-Hydrocarbons
-Iron ingestion

Side Effects:
-Nausea/vomiting
-Consipation/diarrhea
-Abdominal cramping

10

Dextrose (D50/D10)

Contraindications:
-None

Side Effects:
-Local venous irritation/infection
-Hyperglycemia

11

Diphenhydramine

Contraindications:
-None

Side Effects:
-Drowsiness/sedation (excitement in children)
-Dry mouth/thickened bronchial secretions
-Hypotension
-Palpitations/tachycardia

12

Dopamine Hydrochloride

Contraindications:
-None

Side Effects:
-At high infusion rates, hypertension and extreme vasoconstriction may occur
-At low infusion rates, hypotension may occur
-Tachyarrhythmias/palpitations
-Increased myocardial O2 demand

13

Epinephrine

Contraindications:
-None

Side Effects:
-Anxiety/restlessness
-Palpitations/tachyarrhythmias
-Ventricular irritability
-Increased myocardial O2 demands
-Hypertension
-Angina

14

Fentanyl Citrate (+BHPO criteria)

Contraindications:
-None

BHPO only:
-Isolated head injuries
-Acute onset severe headache
-Drug/ETOH intoxication
-Multiple trauma with GCS <15
-Suspected active labor

Side Effects:
-Respiratory depression/apnea
-Decreased LOC
-Transient hypotension
-Nausea/vomiting/dizziness
-Muscular rigidity
-Bradycardia

15

Glucagon

Contraindications:
-None

Side Effects:
-Nausea/vomiting
-Tachycardia/HTN

16

Ketamine

Contraindications:
-Pediatrics
-Pregnancy
-Severe hypertension
-Alcohol intoxicated

Side Effects:
-Increased heart rate
-Increased blood pressure
-Increased respiratory rate
-Nausea
>With higher doses and rapid infusion ("disassociative effects")
-Euphoria (pleasant: dream-like states, vivid imagery)
-Dysphoria (unpleasant: anxiety, disorientation, hallucinations)

17

Lidocaine

Contraindications:
-2nd & 3rd degree heart block
-Idioventricular rhythms

Side Effects: (Toxicity)
>Early >Late
-Anxiety -Seizure
-Euphoria -Decreased BP
-Combative -Coma
-Nausea -Widening QRS
-Twitching -Prolonged PRI
-Numbness -V-Fib

18

Midazolam

Contraindications:
-None

Side Effects:
-Respiratory depression/apnea

19

Morphine Sulfate (+BHPO criteria)

Contraindications:
-None

BHPO only:
-Isolated head injuries
-Acute onset severe headache
-Drug/ETOH intoxication
-Multiple trauma with GCS <15
-Suspected active labor

Side Effects:
-Respiratory depression/apnea
-Decreased LOC
-Transient hypotension
-Nausea/vomiting
-Pinpoint pupils

20

Naloxone

Contraindications:
-None

Side Effects:
-Acute withdrawal symptoms
-Nausea/vomiting
-Tachycardia/hypertension

21

Nitroglycerin

Contraindications:
-Patient who has taken a sexual enhancement medication such as Viagra, Cialis, Levitra within 48 hours
-Patients taking medication for pulmonary hypertension, usually Sildenafil (trade names: Revatio, Flolan, and Veletri)

Side Effects:
-Orthostatic hypotension
-Dizziness/syncope
-Temporary pulsating headache
-Facial flushing

22

Normal Saline

Contraindications:
-Rales (exception for sepsis S-143)

Side Effects:
-None

23

Ondansetron

Contraindications:
-None

Side Effects:
-GI symptoms, especially diarrhea
-Headache

24

Sodium Bicarbonate

Contraindications:
-None

Side Effects:
-Electrolyte/pH imbalances