Hypotension, renal failure, electrolyte depletion, dehydration, intracranial bleeding. Severe CHF with pulmonary edema, hyponatremia.
Card 44
Question
MEPERIDINE (Demerol) ContraInd
Answer
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
Card 45
Question
METOPROLOL (Lopressor) ContraInd
Answer
Hypersensitivity to metoprolol or any component of the formulation; sinus bradycardia; heart block greater than first degree (except in Pt. with a functioning artificial pacemaker); cardiogenic shock; uncompensated cardiac failure; pregnancy (2nd and 3rd trimesters)
Card 46
Question
MIDAZOLAM (Versed) ContraInd
Answer
Glaucoma, shock, coma, alcohol intoxication, overdose Pt.. Depressed vital signs. Concomitant use with other CNS depressants, barbiturates, alcohol, narcotics.
Card 47
Question
MORPHINE SULFATE ContraInd
Answer
Head injury, exacerbated COPD, depressed respiratory drive, hypotension undiagnosed abdominal pain, decreased level of consciousness. Suspected hypovolemia.
Card 48
Question
NALOXONE (Narcan) ContraInd
Answer
Use with caution in narcotic-dependent Pt.. Use with caution in neonates of narcotic-addicted mothers.
Card 49
Question
NITROGLYCERIN ContraInd
Answer
Hypotension, hypovolemia. Intracranial bleeding or head injury.
Card 50
Question
NITROPASTE ContraInd
Answer
Hypotension, hypovolemia, Intracranial bleeding or head injury.
Card 51
Question
NOREPINEPHRINE (Levophed) ContraInd
Answer
Hypotensive Pt. with hypovolemia, pregnancy (relative).
Card 52
Question
ONDANSETRON (Zofran) ContraInd
Answer
Hypersensitivity to ondansetron, other selective 5-HT3 antagonists, or any component of the formulation
Card 53
Question
OXYGEN ContraInd
Answer
Certain Pt. with COPD, emphysema who will not tolerate Oxygen concentrations over 35%. Hyperventilation.
Card 54
Question
PANCURONIUM (Pavulon) ContraInd
Answer
Known hypersensitivity to the drug. Inability to control airway and/or support ventilations with oxygen and positive pressure Neuromuscular disease (e.g., myasthenia gravis)
Card 55
Question
PRALIDOXIME CHLORIDE (2-PAM, Protopam) ContraInd
Answer
Use with caution in Pt. with reduced renal function. Pt. with myasthenia gravis and organophosphate poisoning.
Card 56
Question
PROCAINAMIDE (Pronestyl) ContraInd
Answer
Second- and Third-Degree block, Torsades de Pointes, Lupus, Digitalis toxicity, Myasthenia gravis.
Card 57
Question
PROMETHAZINE (Phenergan) ContraInd
Answer
Hypersensitivity, Comatose states, central nervous system depression from alcohol, barbiturates, or narcotics.
Known hypersensitivity to bromides. Use with caution in pts with heart and liver disease. Inability to control airway and/or support ventilations with oxygen and positive pressure.
Card 60
Question
SODIUM BICARBONATE 8.4% ContraInd
Answer
Metabolic and respiratory alkalosis. Hypocalcemia and hypokalemia. Hypocloremia secondary to GI loss and V
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