contraindications

Question 1

Adrenaline

Answer 1

Hypovolemic shock without adequate fluid replacement

Question 2

Aspirin

Answer 2

BASH C
1. Bleeding disorders
2. Active bleeding peptic ulcers
3. Suspected dissecting aortic aneurysm
4. Hypersensitivity
5. Chest pain in psychostimulant OD with SBP >160

Question 3

Ceftriaxone

Answer 3

1. Allergy to Cephalosporin antibiotics

Question 4

Dexamethasone

Answer 4

1. Hypersensitivity

Question 5

Dextrose

Answer 5

Nil of significance

Question 6

Fentanyl

Answer 6

1. Hypersensitivity
2. Late second stage labour

Question 7

Glucagon

Answer 7

Nil of significance

Question 8

GTN

Answer 8

1. Known hypersensitivity
2. SBP <100
3. Heart rate > 150
4. Heart rate <50 excluding Autonomic Dysreflexia
5. VT
   6.PDE5 inhibitors - Viagra or Levitra in past 24hrs or Cialis in past 4 days (can cause severe hypotension)
6. Riociguat - current use

Question 9

Heparin

Answer 9

1. Hypersensitivity
2. Active bleeding
3. Oral anticoagulants
4. Bleeding disorders
5. Hx of Heparin induced thrombocytopenia
6. Severe hepatic disease or impairment - including oesophageal varices
7. Recent trauma or surgery <3 weeks

Question 10

Ipratropium Bromide

Answer 10

1. Hypersensitivity to Atropine or its derivatives

Question 11

Ketamine

Answer 11

1. Non-traumatic brain injury with SBP >180

Question 12

Lignocaine

Answer 12

1. Known hypersensitivity to Lignocaine or related local anaesthetics

Question 13

Methoxyflurane

Answer 13

1. Renal disease/renal impairment
2. Personal or family hx of malignant hyperthermia

Question 14

Midazolam

Answer 14

1. Known hypersensitivity to benzodiazepines

Question 15

Morphine

Answer 15

1. Known hypersensitivity
2. Renal impairment/failure
3. Late second stage labour

Question 16

Naloxone

Answer 16

Nil of significance

Question 17

Olanzapine

Answer 17

Nil

Question 18

Ondansetron

Answer 18

1. Hypersensitivity
2. Concurrent Apomorphine use

Question 19

Oxytocin

Answer 19

1. Exclude multiple pregnancies before administration

Question 20

Paracetamol

Answer 20

1. Children < 1 month

Question 21

Prochlorperazine

Answer 21

1. CNS depression (ie. stroke/ severe intox)
2. Pts <21 yrs of age

Question 22

Salbutamol

Answer 22

Nil of significance

Question 23

Tenecteplase

Answer 23

1. Major surgery in past 3 months
2. Signifiant head injury in past 3 months
3. Major trauma in past 3 months
4. Stroke/TIA in past 3 months
5. ICH at any time
6. Current bleeding disorder, active bleeding, or bleeding tendencies
7. GI or Genitourinary bleed in past month
8. Anticoagulants or glycoprotein IIb/IIIa inhibitors
9. Hypersensitivity to tenecteplase or gentamicin

Question 24

Droperidol

Answer 24

nil

Question 25

Hydrocortisone

Answer 25

Nil