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Paramedic Drugs
Contraindications
29
Pharmacology
Undergraduate 2
04/02/2013

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Cards

Term
Acetylsalicylic Acid (Aspirin) Contraindications
Definition
1. Hypersensitivity to Aspirin/Salicylates

2. Actively bleeding peptic ulcers

3. Bleeding disorders

4. Suspected dissecting aortic aneurysm

5. Chest pain asscoiated with psychostimulant overdose if BP > 160
Term
Adrenaline Contraindications
Definition
Hypovolaemic shock without adequite fluid replacement
Term
Amiodarone Contraindications
Definition
1. Ventricular Fibrillation/ Pulseless Vetricular Tachycardia refactory to cardioversion.

- Nil of significance

2. Ventricular Tachycardia

- Inadequite perfusion and deteriorating rapidly

- Pregnancy

2. Tricyclic antidepressant medication overdose
Term
Atropine Contraindications
Definition
Nil of significance
Term
Ceftriaxone Contraindications
Definition
Allergy to Cephalosporin Antibiotics
Term
Compound Sodium Lactate Contraindications
Definition
Ceftriaxone
Term
Dexamethasone Contraindications
Definition
Known hypersensitivity to Dexamethasone
Term
Dextrose 5%, 10% Contraindications
Definition
Nil of significance
Term
Fentynal Contraindications
Definition
Known hypersensitivy

IV Amiodarone
Term
Frusemide Contraindications
Definition
Nil of significance
Term
Glucagon Contraindications
Definition
Nil of significance
Term
Glyceryl Trinitrate (GTN) Contraindications
Definition
1. Known hypersensitivity

2. Systolic BP < 110 tablet

3. Systolic BP < 90 patch

4. Sildenafil Citrate (Viagra) or Vardenafil (Levitra) admin. in the previous 24hrs or Tadalafil (Cialis) admin. in the previous 4 days (PED5 Inhibitors)

5. Heart rate > 150

6. Bradycardia HR < 50 (excluding Autonomic Dysreflexia)

7. Ventricular Tachycardia

8. Inferior STEMI with systolic BP < 160

9. Right Ventricular Infarct
Term
Ipratropium Bromide (Atrovent) Contraindications
Definition
Known hypersensitivity to Atropine of its derivitives
Term
Lignocaine Contraindications
Definition
Known hypersensivity
Term
Metaraminol Contraindications
Definition
Nig of significance
Term
Methoxyflurane Contraindications
Definition
1. Pre-existing renal disease/renal impairment

2. Concurrent use of tetracycline antibiotics

3. Exceeding total dose of 6ml in a 24 hr. period
Term
Metoclopramide Contraindications
Definition
1. Children

2. Suspected bowel obstruction or perforation

3. Gastrointestinal haemorrhage
Term
Midazolam Contraindications
Definition
Known hypersensitivity to benzodiazapines
Term
Misoprostol Contraindications
Definition
1. Allergy to prostaglandins

2. Ensure multiple pregnancy excluded before drug admin.
Term
Morphine Contraindications
Definition
1. Known hypersensitivy

2. Late second stage labour
Term
Naloxone Contraindications
Definition
Nil of significance
Term
Normal Saline Contraindications
Definition
Nil of significance
Term
Oxytocin (Syntocinon) Contraindications
Definition
1. Previous hypersensitivity

2. Severe toxaemia (pre-exclampsia)

3. Ensure multiple pregnancy excluded before drug admin

4. Cord prolapse
Term
Pancuronium Contraindications
Definition
1. Pancuroium must not be given if continuous monitoring of Pt vital signs including pulse oximetry and end tidal CO2 monitoring are not avaliable

2. Status Epilepticus
Term
Prochlorperazine Contraindications
Definition
1. Circulatory collapse

2. CNS depression

3. Previous hypersensitivity

4. Children
Term
Salbutamol Contraindications
Definition
Nil of significance
Term
Sodium Bicarbonate 8.4% Contraindications
Definition
Hypothermia < 30oC
Term
Suxamethonium Contraindications
Definition
1. Known hypersensitivity

2. Upper airway obstruction

3. Severe respiratory distress

4. Penetrating eye injury

5. ECG signs of hyperkalaemia in conditions such as muscle necrosis and renal failure

6. Burns >24 hrs post injury

7. Organophosphate poisoning

8. Ruptured Abdominal Aortic Aneurysm

9. Known history of Suxamethonium apnoea

10. Known history of malignant hyperthermia
Term
Verapamil Contraindications
Definition
1. Hypotension

2. Pts on Beta-blocking drugs
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