meds contraindications Flashcards
(126 cards)
0
Q
adenosine
A
side effects Very transit Facial Flushing dizziness headache as SOB, chest pain EKG will show a sinus pause also transit;warn the pt these S/Ss may appear and be but they quickly go away
1
Q
adenosine
A
contraindications- Second or third degree AV block;sick sinus syndrome;recognized a.fib or a.flutter; taking persantine or tegretol:
2
Q
albuteral
A
Allergy to albuterol
3
Q
albuteral
A
side effects palpitation anxiety dizziness, nervousness, tremor, HTN, arrhythmia chest pain, nausea, vomiting
4
Q
albuteral
A
caution–Should be used with caution in patients with cardiac disorders arrhythmias, acute HTN, if worsening vitlas stop administration, consult radioM.D. –bronchospasm can occur immediately after administration of drug (rare)
5
Q
Amiodorone
A
contraindication Polymorphic V.tac(torsades),cardiogenic shock low BP poor perfusion rales if question consult medical advice: symptomatic sinus bradycardia; second or third degree heart block without pacemaker immediately available
6
Q
Amiodarone
A
cautious–beta blocker or calcium channel blocker OD (increases risk of hypotension and/or bradycardia); electrolyte imbalance particularly hypokalemia/hypomagneseima; arrhythmias due to drug overdose preferably treat those lidocaine or magnesium
7
Q
Amiodorone
A
Adverse reactions- if hypotension occurs stop infusion consult med. adv. If no improvement give fluids and dopamine; brady stop entirely consult med. adv. If no improvement external pacer should be use: worsening of development of arrhythmias (torsade) or widening of qtc; heart failure
8
Q
Aspirin
A
contraindication–allergy to aspirin; active gastric ulcers; GI bleed; bleeding disorders (hemophilia); children
9
Q
asaprin
A
Adverse effects– stomach damage or GI bleeding; other internal bleeding such a stroke; allergic reactions including anaphylaxis; facial/airway edema chest tightness; itching; bronchospasm; ringing in the ears with higher doses
10
Q
atropine
A
Contraindication-tachycardia pacing is usually preferable myocardial ischemia or infarction Adverse effects-can cause tachyarrhythmia increase cardiac ischemia worsen or cause MI
11
Q
Benadryl
A
Contra indications allergy to drug; use a MAO inhibitors; newborn preterm neonates breast-feeding;
12
Q
Benadryl
A
cautious use Asthma COPD or CNS depressant including alcohol
13
Q
Benadryl
A
Adverse reaction Profound sedation and coordination; confusion; anxious; tremor; seizure; diplopia; blurred vision; N/V; thickening of secretions allergic/anaphylaxis
14
Q
calcium chloride
A
contraindication consult radio MD if patient takes the digoxion/lanoxin; flush both before and after drug administration particularly sodium bicarbonate
15
Q
calcium cloride
A
side effect Can cause dysrhythmias particularly bradycardia and asystole, leaking out into the surrounding tissues can cause tissue necrosis; to rapid administration may cause slowing of the heart rate or results in spasm of coronary or cerebral arteries
16
Q
cardizem (diltiazem)
A
contraindication; BP
17
Q
cardizem (diltiazem)
A
side effect Asymptomatic /symptomatic hypotension; localized site reaction flushing; various arrhythmias including PVCs; treat adverse reactions per protocol, consult with radio md
18
Q
charcoal (activated)
A
Contraindications AG CS
19
Q
charcoal (activated)
A
untoward effects Nausea or vomiting; aspiration; constipation
20
Q
cyanokit
A
Contraindication none when indicated
21
Q
cynokit
A
Serious side effects increase BP; allergic reactions/anaphylasix
22
Q
cyanokit
A
untoward effects-CNS (headache dizziness restless memory problems) G.I. (nausea vomiting diarrhea stomach trouble swallowing bloody stools) circulatory (irregular/ tachycardia)respiratory (PE, rales)soft tissue (infusions site reaction swollen feet/ankles red color skin/mucous membrane)
23
Q
dextrose
A
contraindication Head injury or CVA unless glucometer reading is 60 unless consult radio m.d. first
24
dextrose
adverse effects Tromobophletis; tissue necrosis; worsening of head injury/ CVA/ cerebral edma
25
dopamine
Contraindications trauma; hemmorhage shock unless drug is order by radio physician
26
dopamine
caution dopamine can cause tissue inflammation with necrosis if contact with vein; careful assessment to consider most likely underlying cause; if due to hypovolemia or sepsis treatment must start with IV fluid boluses; if low BP is caused by rapid a.fib cardioversion may be needed see appropriate protocol
27
Epi
contraindication-- not to be given with a pulse adverse effects--- can cause tachycardia with or without a pulse
28
Epi subq/im
contraindication-- known coronary artery disease adverse effects--- may cause tachydysrhythmias ventricular fibrilation/death; may cause cardiac ischemia or MI
29
Epi drip
contraindication--PT having ischemia or stemi on EKG Caution(contact med advisor if needed)--may cause tachycardias, lethal arrhythmias such as a.fib(decrease or discontinue if significant PVCs occur, may cause MI decrease if new st elevation occurs
30
etomidate
contraindication allergy; can not be given IM
31
etomidate
adverse effects-less likely then benzodiazepines but serious cardiorespiratory effects are still possible including decreased tidal vol.; decreased resp. rate; apnea change in blood-pressure/pulse; respiratory depression airway obstruction O2 desaturation respiratory or cardiac arrest this affects are usually short-lived, if they happen at all must be managed until the patient can manage their airway on their own or respond to fluids and or other shock measures
32
etomidate
this affects are usually short-lived, if they happen at all must be managed until the patient can manage their airway on their own or respond to fluids and or other shock measures
33
glucagon
contraindication--known hypersensitivity; known history of pheochromocytoma; allergic S/Ss after initial goals
34
glucagon
side efffects; occasional nausea and vomiting dizziness allergic reaction transit rise in pulse/BP,half-life short 3-6minutes so treatment is not usually necessary
35
glutose
contraindication PT patient not awake and aware and or patient unable to maintain own airway patient is showing signs of gaging or vomiting or not tolerating the taste volume
36
hurricane spray
contraindication Known hypersensitivity to "caine" anthestics; application to the area that are inflame with open wounds; application under dentures pieces of cotton or other applicators; applications to or around eyes
37
hurricane spray
side effects --diminish or loss of gag resulting in difficulty or inability to swallow; increased risk of aspiration need for suction dry and Scarring mucous membranes will prolong contact Ray are associated with those about equal to two seconds Comptons are final
38
lasix
contraindication--Hypotension; known dehydration; known in the electrolyte in balance
39
lasix
caution -perform careful asses.& validate that S/S are from cardiogenic PE as well as to rule out other causes rales like pneumonia, aspiration, toxic inhalation ect. discussed unexpected s/s with med.adv. before administrating frequent BP are needed between doses; protect from light
40
lidocaine
contraindication--hypersensitivity to local anesthesia; heart blocks; ventricular originated rhythms (idioventricular); bradycardia
41
lidocaine
caution--monitor for toxicity; give over 1-2 minutes in pt with a pulse: do not halves boluses for those over 70y/o, or with liver diseases adverse effects---hypotension, seizure CNS effects\*\*\*\*\*never give lido to pt with escape beats(contraindication)
42
mag sulfate
contraindication---heart blocks; cautious use with renal failure although when indicated with dysrhythmia it may be use with medical advisor for specific order side effects; flushing, sweating, hyporeflexia,diaphoresis, hypotension, rsp depression with toxic dose
43
mag sulfate
side effects; flushing, sweating, hyporeflexia,diaphoresis, hypotension, resp depression (with toxic dose)
44
contraindications- Second or third degree AV block;sick sinus syndrome;recognized a.fib or a.flutter; taking persantine or tegretol:
adenosine
45
side effects Very transit Facial Flushing dizziness headache as SOB, chest pain EKG will show a sinus pause also transit;warn the pt these S/Ss may appear and be but they quickly go away
adenosine
46
Allergy to albuterol
albuteral
47
side effects palpitation anxiety dizziness, nervousness, tremor, HTN, arrhythmia chest pain, nausea, vomiting
albuteral
48
caution--Should be used with caution in patients with cardiac disorders arrhythmias, acute HTN, if worsening vitlas stop administration, consult radioM.D. --bronchospasm can occur immediately after administration of drug (rare)
albuteral
49
contraindication Polymorphic V.tac(torsades),cardiogenic shock low BP poor perfusion rales if question consult medical advice: symptomatic sinus bradycardia; second or third degree heart block without pacemaker immediately available
Amiodorone
50
cautious--beta blocker or calcium channel blocker OD (increases risk of hypotension and/or bradycardia); electrolyte imbalance particularly hypokalemia/hypomagneseima; arrhythmias due to drug overdose preferably treat those lidocaine or magnesium
Amiodarone
51
Adverse reactions- if hypotension occurs stop infusion consult med. adv. If no improvement give fluids and dopamine; brady stop entirely consult med. adv. If no improvement external pacer should be use: worsening of development of arrhythmias (torsade) or widening of qtc; heart failure
Amiodorone
52
contraindication--allergy to aspirin; active gastric ulcers; GI bleed; bleeding disorders (hemophilia); children
Aspirin
53
Adverse effects-- stomach damage or GI bleeding; other internal bleeding such a stroke; allergic reactions including anaphylaxis; facial/airway edema chest tightness; itching; bronchospasm; ringing in the ears with higher doses
asaprin
54
Contraindication-tachycardia pacing is usually preferable myocardial ischemia or infarction Adverse effects-can cause tachyarrhythmia increase cardiac ischemia worsen or cause MI
atropine
55
Contra indications allergy to drug; use a MAO inhibitors; newborn preterm neonates breast-feeding;
Benadryl
56
cautious use Asthma COPD or CNS depressant including alcohol
Benadryl
57
Adverse reaction Profound sedation and coordination; confusion; anxious; tremor; seizure; diplopia; blurred vision; N/V; thickening of secretions allergic/anaphylaxis
Benadryl
58
contraindication consult radio MD if patient takes the digoxion/lanoxin; flush both before and after drug administration particularly sodium bicarbonate
calcium chloride
59
side effect Can cause dysrhythmias particularly bradycardia and asystole, leaking out into the surrounding tissues can cause tissue necrosis; to rapid administration may cause slowing of the heart rate or results in spasm of coronary or cerebral arteries
calcium cloride
60
contraindication; BP
cardizem (diltiazem)
61
side effect Asymptomatic /symptomatic hypotension; localized site reaction flushing; various arrhythmias including PVCs; treat adverse reactions per protocol, consult with radio md
cardizem (diltiazem)
62
Contraindications AG CS
charcoal (activated)
63
untoward effects Nausea or vomiting; aspiration; constipation
charcoal (activated)
64
Contraindication none when indicated
cyanokit
65
Serious side effects increase BP; allergic reactions/anaphylasix
cynokit
66
untoward effects-CNS (headache dizziness restless memory problems) G.I. (nausea vomiting diarrhea stomach trouble swallowing bloody stools) circulatory (irregular/ tachycardia)respiratory (PE, rales)soft tissue (infusions site reaction swollen feet/ankles red color skin/mucous membrane)
cyanokit
67
contraindication Head injury or CVA unless glucometer reading is 60 unless consult radio m.d. first
dextrose
68
adverse effects Tromobophletis; tissue necrosis; worsening of head injury/ CVA/ cerebral edma
dextrose
69
Contraindications trauma; hemmorhage shock unless drug is order by radio physician
dopamine
69
Contraindications trauma; hemmorhage shock unless drug is order by radio physician
dopamine
70
caution dopamine can cause tissue inflammation with necrosis if contact with vein; careful assessment to consider most likely underlying cause; if due to hypovolemia or sepsis treatment must start with IV fluid boluses; if low BP is caused by rapid a.fib cardioversion may be needed see appropriate protocol
dopamine
71
contraindication-- not to be given with a pulse adverse effects--- can cause tachycardia with or without a pulse
Epi
72
contraindication-- known coronary artery disease adverse effects--- may cause tachydysrhythmias ventricular fibrilation/death; may cause cardiac ischemia or MI
Epi subq/im
72
contraindication-- known coronary artery disease adverse effects--- may cause tachydysrhythmias ventricular fibrilation/death; may cause cardiac ischemia or MI
Epi subq/im
73
contraindication--PT having ischemia or stemi on EKG Caution(contact med advisor if needed)--may cause tachycardias, lethal arrhythmias such as a.fib(decrease or discontinue if significant PVCs occur, may cause MI decrease if new st elevation occurs
Epi drip
73
contraindication--PT having ischemia or stemi on EKG Caution(contact med advisor if needed)--may cause tachycardias, lethal arrhythmias such as a.fib(decrease or discontinue if significant PVCs occur, may cause MI decrease if new st elevation occurs
Epi drip
74
contraindication allergy; can not be given IM
etomidate
74
contraindication allergy; can not be given IM
etomidate
75
adverse effects-less likely then benzodiazepines but serious cardiorespiratory effects are still possible including decreased tidal vol.; decreased resp. rate; apnea change in blood-pressure/pulse; respiratory depression airway obstruction O2 desaturation respiratory or cardiac arrest this affects are usually short-lived, if they happen at all must be managed until the patient can manage their airway on their own or respond to fluids and or other shock measures
etomidate
75
adverse effects-less likely then benzodiazepines but serious cardiorespiratory effects are still possible including decreased tidal vol.; decreased resp. rate; apnea change in blood-pressure/pulse; respiratory depression airway obstruction O2 desaturation respiratory or cardiac arrest this affects are usually short-lived, if they happen at all must be managed until the patient can manage their airway on their own or respond to fluids and or other shock measures
etomidate
76
this affects are usually short-lived, if they happen at all must be managed until the patient can manage their airway on their own or respond to fluids and or other shock measures
etomidate
76
this affects are usually short-lived, if they happen at all must be managed until the patient can manage their airway on their own or respond to fluids and or other shock measures
etomidate
77
contraindication--known hypersensitivity; known history of pheochromocytoma; allergic S/Ss after initial goals
glucagon
77
contraindication--known hypersensitivity; known history of pheochromocytoma; allergic S/Ss after initial goals
glucagon
78
side efffects; occasional nausea and vomiting dizziness allergic reaction transit rise in pulse/BP,half-life short 3-6minutes so treatment is not usually necessary
glucagon
78
side efffects; occasional nausea and vomiting dizziness allergic reaction transit rise in pulse/BP,half-life short 3-6minutes so treatment is not usually necessary
glucagon
79
contraindication PT patient not awake and aware and or patient unable to maintain own airway patient is showing signs of gaging or vomiting or not tolerating the taste volume
glutose
79
contraindication PT patient not awake and aware and or patient unable to maintain own airway patient is showing signs of gaging or vomiting or not tolerating the taste volume
glutose
80
contraindication Known hypersensitivity to "caine" anthestics; application to the area that are inflame with open wounds; application under dentures pieces of cotton or other applicators; applications to or around eyes
hurricane spray
80
contraindication Known hypersensitivity to "caine" anthestics; application to the area that are inflame with open wounds; application under dentures pieces of cotton or other applicators; applications to or around eyes
hurricane spray
81
side effects --diminish or loss of gag resulting in difficulty or inability to swallow; increased risk of aspiration need for suction dry and Scarring mucous membranes will prolong contact Ray are associated with those about equal to two seconds Comptons are final
hurricane spray
81
side effects --diminish or loss of gag resulting in difficulty or inability to swallow; increased risk of aspiration need for suction dry and Scarring mucous membranes will prolong contact Ray are associated with those about equal to two seconds Comptons are final
hurricane spray
82
contraindication--Hypotension; known dehydration; known in the electrolyte in balance
lasix
82
contraindication--Hypotension; known dehydration; known in the electrolyte in balance
lasix
83
caution -perform careful asses.& validate that S/S are from cardiogenic PE as well as to rule out other causes rales like pneumonia, aspiration, toxic inhalation ect. discussed unexpected s/s with med.adv. before administrating frequent BP are needed between doses; protect from light
lasix
84
contraindication--hypersensitivity to local anesthesia; heart blocks; ventricular originated rhythms (idioventricular); bradycardia
lidocaine
85
caution--monitor for toxicity; give over 1-2 minutes in pt with a pulse: do not halves boluses for those over 70y/o, or with liver diseases adverse effects---hypotension, seizure CNS effects\*\*\*\*\*never give lido to pt with escape beats(contraindication)
lidocaine
86
contraindication---heart blocks; cautious use with renal failure although when indicated with dysrhythmia it may be use with medical advisor for specific order side effects; flushing, sweating, hyporeflexia,diaphoresis, hypotension, rsp depression with toxic dose
mag sulfate
86
contraindication---heart blocks; cautious use with renal failure although when indicated with dysrhythmia it may be use with medical advisor for specific order side effects; flushing, sweating, hyporeflexia,diaphoresis, hypotension, rsp depression with toxic dose
mag sulfate
87
side effects; flushing, sweating, hyporeflexia,diaphoresis, hypotension, resp depression (with toxic dose)
mag sulfate
87
side effects; flushing, sweating, hyporeflexia,diaphoresis, hypotension, resp depression (with toxic dose)
mag sulfate
88
89
90
91
dopamine
Contraindications trauma; hemmorhage shock unless drug is order by radio physician
92
Epi subq/im
contraindication-- known coronary artery disease adverse effects--- may cause tachydysrhythmias ventricular fibrilation/death; may cause cardiac ischemia or MI
93
Epi drip
contraindication--PT having ischemia or stemi on EKG Caution(contact med advisor if needed)--may cause tachycardias, lethal arrhythmias such as a.fib(decrease or discontinue if significant PVCs occur, may cause MI decrease if new st elevation occurs
94
etomidate
contraindication allergy; can not be given IM
95
etomidate
adverse effects-less likely then benzodiazepines but serious cardiorespiratory effects are still possible including decreased tidal vol.; decreased resp. rate; apnea change in blood-pressure/pulse; respiratory depression airway obstruction O2 desaturation respiratory or cardiac arrest this affects are usually short-lived, if they happen at all must be managed until the patient can manage their airway on their own or respond to fluids and or other shock measures
96
etomidate
this affects are usually short-lived, if they happen at all must be managed until the patient can manage their airway on their own or respond to fluids and or other shock measures
97
glucagon
contraindication--known hypersensitivity; known history of pheochromocytoma; allergic S/Ss after initial goals
98
glucagon
side efffects; occasional nausea and vomiting dizziness allergic reaction transit rise in pulse/BP,half-life short 3-6minutes so treatment is not usually necessary
99
glutose
contraindication PT patient not awake and aware and or patient unable to maintain own airway patient is showing signs of gaging or vomiting or not tolerating the taste volume
100
hurricane spray
contraindication Known hypersensitivity to "caine" anthestics; application to the area that are inflame with open wounds; application under dentures pieces of cotton or other applicators; applications to or around eyes
101
hurricane spray
side effects --diminish or loss of gag resulting in difficulty or inability to swallow; increased risk of aspiration need for suction dry and Scarring mucous membranes will prolong contact Ray are associated with those about equal to two seconds Comptons are final
102
lasix
contraindication--Hypotension; known dehydration; known in the electrolyte in balance
103
mag sulfate
contraindication---heart blocks; cautious use with renal failure although when indicated with dysrhythmia it may be use with medical advisor for specific order side effects; flushing, sweating, hyporeflexia,diaphoresis, hypotension, rsp depression with toxic dose
104
mag sulfate
side effects; flushing, sweating, hyporeflexia,diaphoresis, hypotension, resp depression (with toxic dose)
105
106
107
108
109
110
111
