MemoCard lernen mit System

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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