midstate drugs contraindications hunters

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midstate drugs contraindications hunters
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2012-10-07 20:15:42
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midstate drugs contraindications hunters
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  1. hypersensitivity
    • 1. acetaminophen (tylenol)
    • 2. metoprolol tartrate (lopressor)
    • 3. glucagon
    • 4. ipratropium (atrovent)
    • 5. lidocaine (xylocaine)
    • 6. lorazepam (ativan)
    • 7. morphine sulfate
    • 8. odansetron (zofran)
    • 9. tetracaine
    • 10. aspirin
    • 11. basopressin
    • 12. bumetanide products
    • 13. fentanyl citrate
  2. taking persantine
    1. adenosine (adenocard)
  3. taking tegretol
    1. adenosine (adenocard)
  4. wide complex tachycardia w/ hypotension
    1. amiodarone (cordorone)
  5. bradycardia
    • 1. amiodarone (cordorone)
    • 2. metoprolol tartate
    • 3. lidocaine (xylocaine)
  6. wide complex bradycardia in setting of acute ischemic chest pain
    1. atropine (atropine sulfate)
  7. sensitivity to benzocaine products
    1. benzocaine spray (cetacaine)
  8. children < 1 y/o
    1. benzocaine spray (cetacaine)
  9. not to be mixed w/ any other medication
    1. calcium chloride [precipitates easily]
  10. acute strokes w/ normal finger stick bgl ie neurotoxic
    1. dextrose
  11. 2nd or 3rd degree av block
    • 1. metoprolol tartrate (lopressor)
    • 2. lidocaine (xylocaine)
  12. sick sinus syndrome
    1. metoprolol tartate (lopressor)
  13. significant head injury
    • 1. fentanyl citrate
    • 2. morphine sulfate
  14. gcs < 13 (decreased mental status)
    • 1. fentanyl citrate
    • 2. morphine sulfate
  15. SBP < 100
    • 1. fentanyl citrate
    • 2. morphine sulfate
  16. pre-existing tachydysrhythmias
    • 1. dopamine
    • 2. epi 1:10,000
    • 3. epi 1:1,000
  17. pregnant woman
    • 1. epi 1:10,000 [anaphyaxis w/ shock]
    • 2. epi 1:1,000
    • 3. furosemide (lasix)
  18. hypertension
    • 1. epi 1:1,000
    • 2. phenylephrine (neo-synephrine)
  19. significant cardiac history
    1. epi 1:1,000
  20. chf
    1. lactated ringers
  21. renal failure
    1. lactated ringers
  22. hypersensitivity to benzyl alcohol
    1. lorazepam (ativan)
  23. hypersensitivity to benzodiazepines
    1. lorazepam (ativan)
  24. multiple trauma
    1. morphine sulfate
  25. copd/conprimised prespirations
    1. morphine sulfate
  26. pre-existing ventricular dysrhythmias
    1. dopamine
  27. children < 12
    • 1. furosemide (lasix)
    • 2. nitroglycerin
  28. alergy to sulfa drugs (caution!)
    1. furosemide (lasix)
  29. pheochromocytoma/insulinoma
    1. glucagon
  30. idioventricular rhythms (junctional)
    1. lidocaine (xylocaine)
  31. sa arrest or block
    1. lidocaine (xylocaine)
  32. ventricular conduction defect
    1. lidocaine (xylocaine)
  33. "occasional" pvc
    1. lidocaine (xylocaine)
  34. hypersensitivity to codeine
    1. morphine sulfate
  35. hypersensitivity to percodan
    1. morphine sulfate
  36. use of erectile dysfunction drugs w/in 48 hours
    1. nitroglycerin
  37. digitalis
    1. sodium bicarbonoate (NAHCO3)
  38. respiratory acidosis
    1. sodium bicarbonoate (NAHCO3)
  39. not to be used routinely in cardiac arrest (unless code in renal dialysis pt)
    1. sodium bicarbonoate (NAHCO3)
  40. hypersensitivity to novocain type medications
    1. tetracaine ophthalmic solution
  41. adenosine (adenocard)
    • pt taking...
    • 1. persantine
    • 2. tegretol
  42. amiodarone (cordorone)
    • 1. wide complex tachycardia w/ hypotension (synchronized shock indicated)
    • 2. bradycardia
  43. aspirin
    1. allergy to aspirin
  44. atropine (atropine sulfate)
    • wide complex bradycardia in the setting of acute ischemic chest pain
    • (relative contraindication)
  45. benzocaine spray (cetacaine)
    • 1. known sensitivity to benzocaine products
    • 2. children < 1 y/o
  46. Dextrose (D50, D25, D10)
    acute strokes w/ normal finger stick blood glucose i.e. neurotoxic
  47. dopamine (intropin)
    • 1. pre-existing tachydysrhythmias
    • 2. pre-existing ventricular dysrhythmias
  48. epinephrine 1:10,000
    • 1. pre-existing tachydysrhythmias
    • (use in pregnant women should be conservative)
  49. epinephrine 1:1,000
    • use w/ caution in presence of:
    • 1. pre-existing tachydysrhythmias
    • 2. hypertension
    • 3. significant cardiac history
    • 4. pregnancy
  50. fentanyl citrate
    • 1. significant head industry
    • 2. gcs < 13
    • 3. sbp < 100
    • 4. allergy to fentanyl
  51. glucagon
    • 1. known hypersensitivity
    • 2. hyperglycemia
  52. ipratropium (atrovent)
    1. hypersensitivity to ipratropium
  53. lactated ringers
    • 1. chf
    • 2. renal failure
  54. xylocaine
    • 1. av blocks
    • 2. sensitivity to xylocaine
    • 3. idioventricular rhythms
    • 4. sinus bradycardias, sa arrest or block
    • 5. ventricular conduction defects
    • (not used to treat occasional pvc's)
  55. lorazepam (ativan)
    1. hypersensitivity to benzodiazepines or benzyl alcohol
  56. metoprolol (lopressor)
    • 1. hypotension (sbp < 110)
    • 2. bradycardia (hr < 70)
    • 3. hypersensitivity to metoprolol (lopressor)
    • 4. 1st, 2nd or 3rd degree heart block
    • 5. asthma
    • 6. acute pulmonary edema
    • 7. recent cocaine use
  57. morphine sulfate
    • 1. significant head injury
    • 2. gcs < 13
    • 3. sbp < 100
    • 4. alergic to morphine, codeine, percodan
  58. nitroglycerin
    • 1. hypotension
    • 2. children < 12
    • 3. use of erectile dysfunction drugs w/in 48 hours
    • 4. right ventricular infarction
    • 5. in acute coronary syndrome: severe bradycardia < 50 bpm or tachycardia > 100 bpm
  59. ondansetron (zofran)
    1. hypersensitivity to ondansetron
  60. phenylephrine (neo-synephrine)
    1. severe hypertension
  61. sodium bicarbonate (NaHCO3)
    • 1. digitalis
    • 2. respiratory acidosis
    • (not to be used routinely in cardiac arrest unless in renal dialysis patient)

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