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EPINEPHRINE allergic ContraInd
Hypertension, hypothermia, pulmonary edema, coronary insufficiency, hypovolemic shock.
DIAZEPAM (Valium) seizure ContraInd
Hypersensitivity, glaucoma. coma, shock, substance abuse, head injury
EPINEPHRINE cardiac ContraInd
Hypertension, hypothermia, pulmonary edema, coronary insufficiency, hypovolemic shock.
HYDROMORPHONE (Dilaudid) ContraInd
Asthma, GI obstruction, Hypersensitivity to narcotics, Respiratory depression,
ONDANSETRON (Zofran) ContraInd
Hypersensitivity to ondansetron, other selective 5-HT3 antagonists, or any component of the formulation
DIAZEPAM (Valium)cardio ContraInd
Hypersensitivity, glaucoma. coma, shock, substance abuse, head injury
ATROPINE SULFATE ContraInd
Tachy-C. Hypersensitivity. Unstable cardiovascular status in acute hemorrhage and myocardial ischemia.
GLUCAGON beta blcker OD ContraInd
Hyperglycemia, hypersensitivity
AMIODARONE (Cordarone) ContraInd
-Allergy to Iodine -Medication-induced Ventricular dysrhythmias. -Torsades de Pointes.
NOREPINEPHRINE (Levophed) ContraInd
Hypotensive Pt. with hypovolemia, pregnancy (relative).
HYDROXOCOBALAMIN (Vitamin B 12) ContraInd
None
DOPAMINE (Inotropin) Beta-andregenic ContraInd
Hypovol shock, pheochromocytoma, tachydysrhyth, VF.
GLUCOSE -ORAL ContraInd
Decreased LOC N&V
SODIUM BICARBONATE 8.4% ContraInd
Metabolic and respiratory alkalosis. Hypocalcemia and hypokalemia. Hypocloremia secondary to GI loss and V
AMIODARONE (Cordarone) ContraInd
-Allergy to Iodine -Medication-induced Ventricular dysrhythmias. -Torsades de Pointes.
MAGNESIUM SULFATE ContraInd
Heart blocks. Renal diseases.
THIAMINE (Vitamin B1) ContraInd
None
DILTIAZEM HCL (Cardizem) ContraInd
Wide-complex tachyc Sick sinus syndrome Cardiogenic shock.
NITROGLYCERIN ContraInd
Hypotension, hypovolemia. Intracranial bleeding or head injury.
METOPROLOL (Lopressor) ContraInd
Hypersensitivity to metoprolol or any component of the formulation; sinus bradycardia; heart block greater than first degree (except in Pt. with a functioning artificial pacemaker); cardiogenic shock; uncompensated cardiac failure; pregnancy (2nd and 3rd trimesters)
KETOROLAC (Toradol) ContraInd
allergies to ASA or NSAIDS, Bleeding disorders, Renal failure, Active peptic ulcer disease
MIDAZOLAM (Versed) ContraInd
Glaucoma, shock, coma, alcohol intoxication, overdose Pt.. Depressed vital signs. Concomitant use with other CNS depressants, barbiturates, alcohol, narcotics.
PROMETHAZINE (Phenergan) ContraInd
Hypersensitivity, Comatose states, central nervous system depression from alcohol, barbiturates, or narcotics.
MORPHINE SULFATE ContraInd
Head injury, exacerbated COPD, depressed respiratory drive, hypotension undiagnosed abdominal pain, decreased level of consciousness. Suspected hypovolemia.
MEPERIDINE (Demerol) ContraInd
Hypersensitivity to narcotic agents. Diarrhea caused by poisoning. Pt. taking MAOIs. During labor or delivery of a premature infant. Undiagnosed abdominal pain or head injury
KETAMINE (Ketalar) pain ContraInd
conditions where hypertension could be dangerous to the Pt.’s
ASPIRIN ContraInd
Hypersensitivity. GI bleeding. Signs of recent cerebrovascular accident.
ACETAMINOPHEN (Tylenol, Ofrimev) ContraInd
Severe liver disease.
PROCAINAMIDE (Pronestyl) ContraInd
Second- and Third-Degree block, Torsades de Pointes, Lupus, Digitalis toxicity, Myasthenia gravis.
ADENOSINE (Adenocard) ContraInd
2nd or 3rd block sick sinus,A-fib, A-flutter,V-tach, hypersenstaitvty to Adenosine.
TRANEXAMIC ACID (TXA, Cyklokapron) ContraInd
Hypersensitivity; subarachnoid hemorrhage; history of PE, DVT, or other thromboembolic event; mechanism of injury greater than 3 H
FUROSEMIDE (Lasix) ContraInd
Hypovolemia, anuria, hypotension (relative contraindication); hypersensitivity, hepatic coma.
DOPAMINE (Inotropin) Andregic ContraInd
Hypovol shock, pheochromocytoma, tachydysrhyth, VF.
NITROPASTE ContraInd
Hypotension, hypovolemia, Intracranial bleeding or head injury.
TETRACAINE ContraInd
Hypersensitivity to ester anesthetics; Not to be applied in large amounts or to Infants of less than 1 year old.
VECURONIUM (Norcuron) ContraInd
Bromide hypersensitivity. Inability to control airway and/or support ventilations with oxygen and positive pressure. Bradycardias, dysrhythmias, hypotension, respiratory depression, muscular disease, malignant hyperthermia
MANNITOL 20% ContraInd
Hypotension, renal failure, electrolyte depletion, dehydration, intracranial bleeding. Severe CHF with pulmonary edema, hyponatremia.
AMYL NITRITE, SODIUM NITRITE, SODIUM THIOSULFATE (Cyanide Antidote Kit) ContraInd
N/A
DOPAMINE (Inotropin) dopaminergic ContraInd
Hypovol shock, pheochromocytoma, tachydysrhyth, VF.
SUCCINYLCHOLINE (Anectine) ContraInd
penetrating eye injuries; malignant hyperthermia; hyperkalemic states; acute injury after multi-system trauma, major burns, or extensive muscle injury that may result in hyperkalemia.
FENTANYL CITRATE (Sublimaze) ContraInd
known intolerance to the drug
IPRATROPIUM BROMIDE (Atrovent) ContraInd
Hypersensitivity to atropine or its derivatives
DEXAMETHASONE (Decadron) ContraInd
Hypersensitivity to product.
ETOMIDATE (Amidate) ContraInd
labor/delivery, or septic shock
PRALIDOXIME CHLORIDE (2-PAM, Protopam) ContraInd
Use with caution in Pt. with reduced renal function. Pt. with myasthenia gravis and organophosphate poisoning.
ACTIVATED CHARCOAL ContraInd
Not comatose Pt. Not corrosives, caustics, petroleum distillates, simultaneous administration with other oral drugs.
NALOXONE (Narcan) ContraInd
Use with caution in narcotic-dependent Pt.. Use with caution in neonates of narcotic-addicted mothers.
HEPARIN SODIUM ContraInd
Hypersensitivity. Pt. on antiplatelet drugs (relative contraindication).
LORAZEPAM (Ativan) ContraInd
Coma, shock or suspected drug abuse.
ALBUTEROL (Proventil, Ventolin) ContraInd
Tachycardia, dysrhythmias, especially those caused by digitalis. Synergistic with other sympathomimetics
DIAZEPAM (Valium) rectal ContraInd
Hypersensitivity, glaucoma. coma, shock, substance abuse, head injury
FLUMAZENIL (Romazicon) ContraInd
Hypersensitivity to flumazenil or to benzodiazepines, Tricyclic antidepressant overdose, Chronic benzodiazepine users or alcoholics, Cocaine or other stimulant intoxication. Known seizure disorder (relative)
RACEMIC EPINEPHRINE ContraInd
Hypertension, underlying cardiovascular disease, epiglottitis
PANCURONIUM (Pavulon) ContraInd
Known hypersensitivity to the drug. Inability to control airway and/or support ventilations with oxygen and positive pressure Neuromuscular disease (e.g., myasthenia gravis)
CALCIUM CHLORIDE / CALCIUM GLUCONATE ContraInd
Hypercalcemia, VF during cardiac resuscitation; digitalis toxicity.
KETAMINE (Ketalar) RSI ContraInd
conditions where hypertension could be dangerous to the Pt.’s
GLUCAGON hyperglcemia ContraInd
Hyperglycemia, hypersensitivity
HALOPERIDOL (Haldol) ContraInd
depressed mental status and agitation secondary to shock and hypoxia, Parkinson’s Disease.
VASOPRESSIN (Pitressin) ContraInd
Responsive Pt. with coronary artery disease
VERAPAMIL (Isoptin) ContraInd
Hypersensitivity, Sick sinus syndrome (unless the Pt. has a functioning pacemaker), Second- or third-degree heart block. Sinus bradycardia, Hypotension, Cardiogenic shock, Severe congestive heart failure, Wolff-Parkinson-White syndrome with atrial fibrillation or flutter. Pt. receiving IV beta blockers. Give with extreme caution to Pt. receiving oral beta blockers. Wide-complex tachycardias of uncertain origin (ventricular tachycardia can deteriorate into ventricular fibrillation when calcium channel blockers are given.)
DEXTROSE ContraInd
Intracranial hemorrhage , DTs
ROCURONIUM (Zemuron) ContraInd
Known hypersensitivity to bromides. Use with caution in pts with heart and liver disease. Inability to control airway and/or support ventilations with oxygen and positive pressure.
DIPHENHYDRAMINE (Benadryl) ContraInd
Asthma, glaucoma, pregnancy, hypertension, infants
KETAMINE (Ketalar) delerium ContraInd
conditions where hypertension could be dangerous to the Pt.’s
HYDROCORTISONE/METHYLPREDNISOLONE (Solu-Cortef, Solu-Medrol) ContraInd
Hypersensitivity
OXYGEN ContraInd
Certain Pt. with COPD, emphysema who will not tolerate Oxygen concentrations over 35%. Hyperventilation.
LIDOCAINE HCL (2%) ContraInd
2nd 3rd blocks in absence of pacemaker.
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