Contraindications

Question 1

Contraindications for Adrenaline?

Answer 1

Nil in the emergency setting

Question 2

Contraindications for Aspirin?

Answer 2

• Known severe allergic reaction
• Patients less than 18 years old
• Chest pain associated with psychostimulant overdose
• Bleeding OR clotting disorders
• Current GI bleeding or peptic ulcers

Question 3

Contraindications for Ceftriaxone?

Answer 3

• Known severe allergic reaction

- Known severe allergic reaction to Penicillin

Question 4

Contraindications for Droperidol?

Answer 4

• Known severe allergic reaction
• Parkinson’s disease
• Previous dystonic reaction to Droperidol
• Patients less than 14 years old

Question 5

Contraindications for Fentanyl?

Answer 5

• Known severe allergic reaction

- Patients less than 1 year old

Question 6

Contraindications for Fexofenadine?

Answer 6

• Known severe allergic reaction
• Patients less than 12 years old
• Previous administration within 24 hours

Question 7

Contraindications for Glucagon?

Answer 7

• Known severe allergic reaction

Question 8

Contraindications for Glucose 10%?

Answer 8

Nil

Question 9

Contraindications for Glucose Gel?

Answer 9

• Absent swallowing ability
• Less than 2 years old
• Unconsciousness

Question 10

Contraindications for Glyceryl Trinitrate?

Answer 10

• Known severe allergic reaction
• Heart rate < 50 or > 150 bpm
• Systolic BP < 100 mmHg
• Acute CVA
• Head trauma
• Use of Viagra, Cialis or Levitra in previous 24 hours

Question 11

Contraindications for Ibuprofen?

Answer 11

• Known severe allergic reaction
• Current gastrointestinal bleeding or peptic ulcers
• Dehydration and/or hypovolaemia
• Renal impairment
• Pregnancy
• Heart failure

Question 12

Contraindications for Ipratropium Bromide?

Answer 12

• Known severe allergic reaction

- Patients less than 1 year old

Question 13

Contraindications for Loratadine?

Answer 13

• Known severe allergic reaction
• Anaphylaxis
• Patients less than 8 year s old

Question 14

Contraindications for Methoxyflurane?

Answer 14

• Known severe allergic reaction
• Severe renal or hepatic impairment
• Pre-eclampsia or eclampsia
• History of malignant hyperthermia
• Patients less than 1 year old

Question 15

Contraindications for Metoclopramide?

Answer 15

• Known severe allergic reaction
• Suspected intestinal / bowel obstruction
• Suspected or known haematemesis / melaena (i.e. vomiting blood, bloody faeces)
• Paediatric patients less than 15 years old
• Pregnant patients

Question 16

Contraindications for Midazolam?

Answer 16

• Known severe allergic reaction

Question 17

Contraindications for Morphine?

Answer 17

• Known severe allergic reaction
• Renal failure
• Patients less than 1 year old
• Pregnant women greater than 20 weeks gestation in labour

Question 18

Contraindications for Naloxone?

Answer 18

• Known severe allergic reaction

- Newborns

Question 19

Contraindications for Ondansetron?

Answer 19

• Known severe allergic reaction
• Long QT syndrome
• Patients less than 2 years old
• Current apomorphine therapy (Parkinson’s disease medication)

Question 20

Contraindications for Oxygen?

Answer 20

• Nil in the emergency setting

Question 21

Contraindications for Paracetamol?

Answer 21

• Known severe allergic reaction

- Patients less than 1 month old

Question 22

Contraindications for Salbutamol?

Answer 22

• Known severe allergic reaction

- Patients less than 1 year old