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PROCAINAMIDE (Pronestyl) ContraInd
2nd /3rd Degree block, Torsades de Pointes, Lupus, Digitalis toxicity, Myasthenia gravis.
DIAZEPAM (Valium)cardio ContraInd
glaucoma. coma, shock, substance abuse, head injury
MAGNESIUM SULFATE ContraInd
Heart blocks. Renal diseases.
KETAMINE (Ketalar) RSI ContraInd
conditions where hypertension could be dangerous to the Pt.’s
DIAZEPAM (Valium) seizure ContraInd
glaucoma. coma, shock, substance abuse, head injury
METOPROLOL (Lopressor) ContraInd
sinus bradycardia/heart block greater than first degree (except w/ pacemaker); cardiogenic shock; uncompensated cardiac failure; pregnancy
GLUCAGON hyperglcemia ContraInd
Hyperglycemia
FUROSEMIDE (Lasix) ContraInd
Hypovolemia, anuria, hypotension (relative contraindication); hypersensitivity, hepatic coma.
FLUMAZENIL (Romazicon) ContraInd
Hypersensitivity benzodiazepines, Tricyclic antidepressant overdose, Chronic benzodiazepine users or alcoholics, Cocaine or other stimulant intoxication. Known seizure disorder (relative)
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
NALOXONE (Narcan) ContraInd
caution in neonates of narcotic-addicted mothers.
NITROGLYCERIN ContraInd
Hypotension, hypovolemia. Intracranial bleeding or head injury.
MORPHINE SULFATE ContraInd
Head injury, exacerbated COPD, depressed respiratory drive, hypotension undiagnosed abdominal pain, decreased level of consciousness. Suspected hypovolemia.
HALOPERIDOL (Haldol) ContraInd
depression and agitation secondary to shock and hypoxia, Parkinson’s
NOREPINEPHRINE (Levophed) ContraInd
Hypotensive with hypovolemia, pregnancy (relative).
AMYL NITRITE, SODIUM NITRITE, SODIUM THIOSULFATE (Cyanide Antidote Kit) ContraInd
N/A
ATROPINE SULFATE ContraInd
Tachy /Unstable cardiovascular/acute hemorrhage/myocardial ischemia.
OXYGEN ContraInd
Certain Pt. with COPD, emphysema who will not tolerate Oxygen concentrations over 35%. Hyperventilation.
HEPARIN SODIUM ContraInd
Pt. on antiplatelet drugs (relative contraindication).
ETOMIDATE (Amidate) ContraInd
labor/delivery, or septic shock
TRANEXAMIC ACID (TXA, Cyklokapron) ContraInd
subarachnoid hemorrhage/Hx of PE/ DVT/ thromboembolic event; mechanism of injury greater than 3 H
MANNITOL 20% ContraInd
Hypotension, renal failure, electrolyte depletion, dehydration, intracranial bleeding. Severe CHF with pulmonary edema, hyponatremia.
SODIUM BICARBONATE 8.4% ContraInd
alkalosis/Hypocalcemia/hypokalemia. Hypocloremia secondary to GI loss and V
DEXTROSE ContraInd
Intracranial hemorrhage/DTs
HYDROXOCOBALAMIN (Vitamin B 12) ContraInd
N/A
KETOROLAC (Toradol) ContraInd
allergies to ASA or NSAIDS, Bleeding disorders, Renal failure, Active peptic ulcer disease
ASPIRIN ContraInd
Ax/ GI bleed/cerebrovascular accident.
HYDROMORPHONE (Dilaudid) ContraInd
Asthma, GI obstruction, Hypersensitivity to narcotics, Respiratory depression,
ADENOSINE (Adenocard) ContraInd
2nd or 3rd block/sick sinus/A-fib/A-flut/V-tach
LORAZEPAM (Ativan) ContraInd
Coma, shock or suspected drug abuse.
GLUCOSE -ORAL ContraInd
Decreased LOC N&V
HYDROCORTISONE/METHYLPREDNISOLONE (Solu-Cortef, Solu-Medrol) ContraInd
N/A
DOPAMINE (Inotropin) Beta-andregenic ContraInd
Hypovol shock, pheochromocytoma, tachy dysrhyth, VF.
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
DEXAMETHASONE (Decadron) ContraInd
N/A
VASOPRESSIN (Pitressin) ContraInd
Responsive Pt. with coronary artery disease
DOPAMINE (Inotropin) dopaminergic ContraInd
Hypovol shock, pheochromocytoma, tachy dysrhyth, VF.
DIAZEPAM (Valium) rectal ContraInd
glaucoma. coma, shock, substance abuse, head injury
THIAMINE (Vitamin B1) ContraInd
None
PANCURONIUM (Pavulon) ContraInd
Inability to control airway and/or support ventilations with oxygen and positive pressure Neuromuscular disease (e.g., myasthenia gravis)
KETAMINE (Ketalar) delerium ContraInd
conditions where hypertension could be dangerous to the Pt.’s
EPINEPHRINE allergic ContraInd
Htn, hypothermia, pul edema, coronary insufficiency, hypovolemic shock.
EPINEPHRINE cardiac ContraInd
Htn, hypothermia, pul edema, coronary insufficiency, hypovolemic shock.
KETAMINE (Ketalar) pain ContraInd
conditions where hypertension could be dangerous to the Pt.’s
MIDAZOLAM (Versed) ContraInd
Glaucoma, shock, coma, alcohol intoxication, overdose Pt.. Depressed vital signs
TETRACAINE ContraInd
Hypersensitivity to ester anesthetics; Not use Infants <1 Yr
LIDOCAINE HCL (2%) ContraInd
2nd 3rd blocks in absence of pacemaker.
PRALIDOXIME CHLORIDE (2-PAM, Protopam) ContraInd
caution in Pt. with reduced renal function/ myasthenia gravis/organophosphate poisoning.
IPRATROPIUM BROMIDE (Atrovent) ContraInd
Hypersensitivity to atropine or its derivatives
DIPHENHYDRAMINE (Benadryl) ContraInd
Asthma, glaucoma, pregnancy, hypertension, infants
ONDANSETRON (Zofran) ContraInd
Hypersensitivity to selective 5-HT3 antagonists
RACEMIC EPINEPHRINE ContraInd
Hypertension, underlying cardiovascular disease, epiglottitis
ROCURONIUM (Zemuron) ContraInd
hypersensitivity to bromides/heart and liver disease/ Inability to control airway and/or support ventilations with oxygen and positive pressure.
DILTIAZEM HCL (Cardizem) ContraInd
Wide-complex tachyc/ Sick sinus/Cardiogenic shock.
CALCIUM CHLORIDE / CALCIUM GLUCONATE ContraInd
Hypercal,/ VF during cardiac resuscitation/digitalis toxicity.
NITROPASTE ContraInd
Hypotension, hypovolemia, Intracranial bleeding or head injury.
VERAPAMIL (Isoptin) ContraInd
Sick sinus (Pt w/o pacemaker), 2nd /3rd degree heart block. Sinus brady/Hypotension/Cardiogenic shock/ congestive heart failure, WPW with A-fib/flutter. caution PO/IV beta blockers. Wide-complex tachycardias of unknown (v-tachy can go ot v-fib w/Ca channel blockers)
GLUCAGON beta blcker OD ContraInd
Hyperglycemia
PROMETHAZINE (Phenergan) ContraInd
Comatose/CNSdepression from alcohol, barbiturates, or narcotics.
ACETAMINOPHEN (Tylenol, Ofrimev) ContraInd
Severe liver disease.
DOPAMINE (Inotropin) Andregic ContraInd
Hypovol shock, pheochromocytoma, tachy dysrhyth, VF.
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
ACTIVATED CHARCOAL ContraInd
No coma. No corrosives/caustics/petroleum/ other oral drugs.
AMIODARONE (Cordarone) ContraInd
Ax Iodine/Medinduced Vent dysrhyth -Torsades de Pointes.
ALBUTEROL (Proventil, Ventolin) ContraInd
Tachy/dysrhyth/digitalis Synergistic with other sympathomimetics
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