-
hypersensitivity
- 1. acetaminophen (tylenol)
- 2. metoprolol tartrate (lopressor)
- 3. glucagon
- 4. ipratropium (atrovent)
- 5. lidocaine (xylocaine)
- 6. lorazepam (ativan)
- 7. morphine sulfate
- 8. odansetron (zofran)
- 9. tetracaine
- 10. aspirin
- 11. basopressin
- 12. bumetanide products
- 13. fentanyl citrate
-
taking persantine
1. adenosine (adenocard)
-
taking tegretol
1. adenosine (adenocard)
-
wide complex tachycardia w/ hypotension
1. amiodarone (cordorone)
-
bradycardia
- 1. amiodarone (cordorone)
- 2. metoprolol tartate
- 3. lidocaine (xylocaine)
-
wide complex bradycardia in setting of acute ischemic chest pain
1. atropine (atropine sulfate)
-
sensitivity to benzocaine products
1. benzocaine spray (cetacaine)
-
children < 1 y/o
1. benzocaine spray (cetacaine)
-
not to be mixed w/ any other medication
1. calcium chloride [precipitates easily]
-
acute strokes w/ normal finger stick bgl ie neurotoxic
1. dextrose
-
2nd or 3rd degree av block
- 1. metoprolol tartrate (lopressor)
- 2. lidocaine (xylocaine)
-
sick sinus syndrome
1. metoprolol tartate (lopressor)
-
significant head injury
- 1. fentanyl citrate
- 2. morphine sulfate
-
gcs < 13 (decreased mental status)
- 1. fentanyl citrate
- 2. morphine sulfate
-
SBP < 100
- 1. fentanyl citrate
- 2. morphine sulfate
-
pre-existing tachydysrhythmias
- 1. dopamine
- 2. epi 1:10,000
- 3. epi 1:1,000
-
pregnant woman
- 1. epi 1:10,000 [anaphyaxis w/ shock]
- 2. epi 1:1,000
- 3. furosemide (lasix)
-
hypertension
- 1. epi 1:1,000
- 2. phenylephrine (neo-synephrine)
-
significant cardiac history
1. epi 1:1,000
-
-
renal failure
1. lactated ringers
-
hypersensitivity to benzyl alcohol
1. lorazepam (ativan)
-
hypersensitivity to benzodiazepines
1. lorazepam (ativan)
-
multiple trauma
1. morphine sulfate
-
copd/conprimised prespirations
1. morphine sulfate
-
pre-existing ventricular dysrhythmias
1. dopamine
-
children < 12
- 1. furosemide (lasix)
- 2. nitroglycerin
-
alergy to sulfa drugs (caution!)
1. furosemide (lasix)
-
pheochromocytoma/insulinoma
1. glucagon
-
idioventricular rhythms (junctional)
1. lidocaine (xylocaine)
-
sa arrest or block
1. lidocaine (xylocaine)
-
ventricular conduction defect
1. lidocaine (xylocaine)
-
"occasional" pvc
1. lidocaine (xylocaine)
-
hypersensitivity to codeine
1. morphine sulfate
-
hypersensitivity to percodan
1. morphine sulfate
-
use of erectile dysfunction drugs w/in 48 hours
1. nitroglycerin
-
digitalis
1. sodium bicarbonoate (NAHCO3)
-
respiratory acidosis
1. sodium bicarbonoate (NAHCO3)
-
not to be used routinely in cardiac arrest (unless code in renal dialysis pt)
1. sodium bicarbonoate (NAHCO3)
-
hypersensitivity to novocain type medications
1. tetracaine ophthalmic solution
-
adenosine (adenocard)
- pt taking...
- 1. persantine
- 2. tegretol
-
amiodarone (cordorone)
- 1. wide complex tachycardia w/ hypotension (synchronized shock indicated)
- 2. bradycardia
-
aspirin
1. allergy to aspirin
-
atropine (atropine sulfate)
- wide complex bradycardia in the setting of acute ischemic chest pain
- (relative contraindication)
-
benzocaine spray (cetacaine)
- 1. known sensitivity to benzocaine products
- 2. children < 1 y/o
-
Dextrose (D50, D25, D10)
acute strokes w/ normal finger stick blood glucose i.e. neurotoxic
-
dopamine (intropin)
- 1. pre-existing tachydysrhythmias
- 2. pre-existing ventricular dysrhythmias
-
epinephrine 1:10,000
- 1. pre-existing tachydysrhythmias
- (use in pregnant women should be conservative)
-
epinephrine 1:1,000
- use w/ caution in presence of:
- 1. pre-existing tachydysrhythmias
- 2. hypertension
- 3. significant cardiac history
- 4. pregnancy
-
fentanyl citrate
- 1. significant head industry
- 2. gcs < 13
- 3. sbp < 100
- 4. allergy to fentanyl
-
glucagon
- 1. known hypersensitivity
- 2. hyperglycemia
-
ipratropium (atrovent)
1. hypersensitivity to ipratropium
-
-
xylocaine
- 1. av blocks
- 2. sensitivity to xylocaine
- 3. idioventricular rhythms
- 4. sinus bradycardias, sa arrest or block
- 5. ventricular conduction defects
- (not used to treat occasional pvc's)
-
lorazepam (ativan)
1. hypersensitivity to benzodiazepines or benzyl alcohol
-
metoprolol (lopressor)
- 1. hypotension (sbp < 110)
- 2. bradycardia (hr < 70)
- 3. hypersensitivity to metoprolol (lopressor)
- 4. 1st, 2nd or 3rd degree heart block
- 5. asthma
- 6. acute pulmonary edema
- 7. recent cocaine use
-
morphine sulfate
- 1. significant head injury
- 2. gcs < 13
- 3. sbp < 100
- 4. alergic to morphine, codeine, percodan
-
nitroglycerin
- 1. hypotension
- 2. children < 12
- 3. use of erectile dysfunction drugs w/in 48 hours
- 4. right ventricular infarction
- 5. in acute coronary syndrome: severe bradycardia < 50 bpm or tachycardia > 100 bpm
-
ondansetron (zofran)
1. hypersensitivity to ondansetron
-
phenylephrine (neo-synephrine)
1. severe hypertension
-
sodium bicarbonate (NaHCO3)
- 1. digitalis
- 2. respiratory acidosis
- (not to be used routinely in cardiac arrest unless in renal dialysis patient)
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