medic12 medic_drugs contraindications

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thom.mccusker@gmail.com
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medic12 medic_drugs contraindications
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2012-04-16 00:01:16
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medic12 medic drugs contraindications
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medic12 medic_drugs contraindications
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  1. ALBUTEROL
    1) hypersensitivity to the drug.
  2. IPRATROPIUM
    • 1) hypersensitivity to atropine or its derivs
    • 2) primary treatement for acute bronchospasm
    • 3) nut allergy.
  3. CHLORDIAZEPOXIDE
    • 1) hypersensitivity to benzodiazepines
    • 2) pregnant/nursing mothers
    • 3) children under 6.
  4. DIPHENYDRAMINE
    1) asthma; other lower respiratory diseases
  5. FENTANYL
    • 1) MAO inhibitors w/in 14 days
    • 2) myasthenia gravis
  6. LORAZEPAM
    1) sensitivity to benzodiazepines
  7. METOCLOPRAMIDE
    • 1) hypersensitivity
    • 2) allergy to sulfite agents
    • 3) seizure disorders
    • 4) pheochromocytoma
    • 5) mechanical GI obstruction or perforation
    • 6) breast cancer
  8. MORPHINE SULFATE
    • 1) hypersensitivity to opiates
    • 2) undiagnosed head or abdominal injury
    • 3) hypotension, or volume depletion
    • 4) acute asthma
    • 5) COPD
    • 6) severe respiratory depression
    • 7) pulmonary edema due to chemical inhalation.
  9. NALOXONE
    • 1) hypersensitivitiy
    • 2) non-narcotic-induced respiratory depression
  10. ZOFRAN
    none
  11. DIAZEPAM
    • 1) shock
    • 2) coma
    • 3) acute alcoholism
    • 4) depressed vital signs
    • 5) obstetric patients
    • 6) neonates
  12. ETOMIDATE
    none
  13. FLUMAZENIL
    • 1) hypersensitivity to flumazenil or benzodiazepines
    • 2) patients who take medication for status epilepticus or seizures
    • 3) seizure-prone patients during labor and delivery
    • 4) tricyclic antidepressant overdose
  14. MIDAZOLAM
    • 1) hypersensitivity to benzodiazepines
    • 2) narrow-angle glaucoma
    • 3) shock
    • 4) coma
    • 5) acute alcohol intoxication
  15. SUCCINYLCHOLINE
    • 1) family history of malignant hyperthermia
    • 2) penetrating eye injury
    • 3) narrow-angle glaucoma
    • 4) hyperkalemia
  16. ADENOSINE
    • 1) 2nd & 3rd degree heart block
    • 2) sinus node disease
    • 3) asthma.
  17. EPINEPHRINE
    • 1) narrow angle glaucoma
    • 2) hemorrhagic, traumatic, or cardiac shock
    • 3) during labor
  18. VASOPRESSIN
    • 1) PVCs
    • 2) 1st stage of labor
  19. ATROPINE
    • 1) none in emergency setting
    • 2) 2nd degree type 2 & above heart blocks are class 2B (not recommended)
  20. ASPERIN
    • 1) hypersensitivity to salicylates
    • 2) active ulcer disease
    • 3) asthma
  21. DEXTROSE 50% in Water
    none in hypoglycemia
  22. FUROSEMIDE
    1) hypotension
  23. NITROGLYCERIN
    • 1) hypersensitivity
    • 2) tolerance to nitrates
    • 3) severe anemia
    • 4) head trauma
    • 5) hypotension
    • 6) increased ICP
    • 7) PTs taking sildenafil
    • 8) glaucoma
    • 9) shock
  24. DOBUTAMINE
    • 1) hypersensitivity to Sympathomimetic amines
    • 2) ventricular tachycardia
    • 3) hypovolemia without fluid resuscitation
  25. DOPAMINE
    • 1) hypovolemic hypotension w/out aggressive fluid resuscitation
    • 2) tachydysrhythmias
    • 3) ventricular fibrillation
    • 4)pheochromocytoma
  26. ISOPROTENEROL
    1) cardiogenic shock
  27. TETRACAINE
    1) hypersensitivity
  28. DILTIAZEM
    • 1) hypersensitivity
    • 2) sick sinus syndrome
    • 3) 2nd or 3rd degree HB
    • 4) systolic BP < 90 or diastolic BP < 60
    • 5) wide-complex tachycardia
    • 6) WPW
  29. TRIDIL
    • 1) hypotension
    • 2) uncorrected hypovolemia
    • 3) increased intracranial pressure
    • 4) constrictive pericarditis
    • 5) pericardial tamponade
  30. VERAPAMIL
    • 1) severe hypotension
    • 2) cardiogenic shock
    • 3) 2nd or 3rd degree heart block
    • 4) CHF
    • 5) sinus node disease & accessory AV pathways
    • 6) WPW syndrome
    • 7) it should not be administered to persons taking beta blockers
  31. METOPROLOL
    • 1) cardiogenic shock
    • 2) sinus bradycardia <45
    • 3) 2nd/3rd degree HB
    • 4) PR interval >0.24
    • 5) asthma or COPD
  32. ACTIVATED CHARCOAL
    none
  33. CALCIUM CHLORIDE
    • 1) ventricular fibrillation
    • 2) hypercalcemia
    • 3) possible digitalis toxicity
  34. METHYLPREDNISOLONE
    no major CIs in the emergency setting.
  35. MAGNESIUM SULFATE
    • 1) HB
    • 2) myocardial damage
    • 3) shock
    • 4) persistent hypertension
    • 5) hypocalcemia.
  36. PHENYTOIN
    • 1) hypersensitivity to hydantoin products
    • 2) seizures due to hypoglycemia
    • 3) sinus bradycardia
    • 4) HB
    • 5) Adams-Stokes syndrome.
  37. SODIUM BICARBONATE
    none when used in severe hypoxia or late cardiac arrest.
  38. THIAMINE
    none
  39. BUTORPHANOL
    • 1) hypersensitivity
    • 2) head injury
    • 3) undiagnosed abdominal pain
  40. MEPERIDINE
    • 1) seizure disorders
    • 2) acute abdomen prior to diagnosis
  41. NALBUPHINE
    • 1) hypersensitivity
    • 2) undiagnosed head or abdominal injury
  42. PANCURONIUM
    tachycardia
  43. VECUMONIUM
    none given
  44. AMINOPHYLLINE
    uncontrolled cardiac dysrhythmias
  45. HALOPERIDOL
    • 1) parkinson's disease
    • 2) seizure disorders
    • 3) coma
    • 4) alcohol depression
    • 5) CNS depression
    • 6) thyrotoxicosis
    • 7) with other sedatives
  46. MILRINONE
    hypersensitivity
  47. PROMETHAZINE
    hypersensitivity to phenothiazines
  48. TERBUTALINE
    hypersensitivity
  49. ALTEPLASE RECOMBINANT
    • 1) active internal bleeding
    • 2) suspected aortic dissection
    • 3) traumatic CPR
    • 4) recent hemmorhagic stroke (6mo)
    • 5) intracranial or intraspinal surgery or trauma (2mo)
    • 6) pregnancy
    • 7) uncontrolled hypertension
    • 8) hypersensitivity to thrombolytics
  50. HEPARIN
    • 1) hypersensitivity
    • 2) active bleeding or bleeding tendencies
    • 3) recent eye, brain or spinal surgery
    • 4) shock
  51. NOREPINEPHRINE
    hypotension due to uncorrected hypovolemia
  52. DEXAMETHASONE
    none in the emergency setting
  53. KETOROLAC
    n/a
  54. MANNITOL
    • 1) hypersensitivity
    • 2) pulmonary edema
    • 3) CHF
    • 4) organic CNS disease
    • 5) intracranial bleeding
    • 6) shock
    • 7) severe dehydration
  55. GLUCAGON
    n/a
  56. OXYTOCIN
    • 1) hypersensitivity
    • 2) prehospital admin before delivery of infant or infants
  57. PROCHLORPERAZINE
    N/A
  58. RACEMIC EPINEPHRINE
    • 1) hypersensitivity
    • 2) hypertension
    • 3) epiglottitis
  59. AMIODARONE
    • 1) cardiogenic shock
    • 2) severe sinus bradycardia
    • 3) advanced heart block
  60. BRETYLIUM
    none
  61. LIDOCAINE
    • 1) hypersensitivity to amide-type local anesthetics
    • 2) supraventricular dysrhythmias
    • 3) stokes-adams syndrome
    • 4) 2nd- & 3rd-degree heart blocks
    • 5) bradycardias
  62. PROCAINAMIDE
    • 1) hypersensitivity to procainamide or procaine
    • 2) myasthenia gravis
    • 3) 2nd/3rd degree heart block
  63. 2nd/3rd degree heart block
    • 1) AMIODARONE (advanced HB)
    • 2) ATROPINE
    • 3) DILTIAZEM
    • 4) LIDOCAINE
    • 5) METOPROLOL
    • 6) MAGNESIUM SULFATE (HB)
    • 7) PROCAINAMIDE
    • 8) VERAPAMIL
  64. narrow-angle glaucoma
    • 1) EPINEPHRINE
    • 2) MIDAZOLAM
    • 3) NITROGLYCERIN (glaucoma)
    • 4) SUCCINYLCHOLINE

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