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 122
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 123
Question
PROCAINAMIDE (Pronestyl) ContraInd
Answer
Second- and Third-Degree block, Torsades de Pointes, Lupus, Digitalis toxicity, Myasthenia gravis.
Card 124
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 127
Question
SODIUM BICARBONATE 8.4% ContraInd
Answer
Metabolic and respiratory alkalosis. Hypocalcemia and hypokalemia. Hypocloremia secondary to GI loss and V
Card 128
Question
SUCCINYLCHOLINE (Anectine) ContraInd
Answer
penetrating eye injuries; malignant hyperthermia; hyperkalemic states; acute injury after multi-system trauma, major burns, or extensive muscle injury that may result in hyperkalemia.
Card 129
Question
TETRACAINE ContraInd
Answer
Hypersensitivity to ester anesthetics; Not to be applied in large amounts or to Infants of less than 1 year old.
Card 130
Question
THIAMINE (Vitamin B1) ContraInd
Answer
None
Card 131
Question
TRANEXAMIC ACID (TXA, Cyklokapron) ContraInd
Answer
Hypersensitivity; subarachnoid hemorrhage; history of PE, DVT, or other thromboembolic event; mechanism of injury greater than 3 H
Card 132
Question
VASOPRESSIN (Pitressin) ContraInd
Answer
Responsive Pt. with coronary artery disease
Card 133
Question
VECURONIUM (Norcuron) ContraInd
Answer
Bromide hypersensitivity. Inability to control airway and/or support ventilations with oxygen and positive pressure. Bradycardias, dysrhythmias, hypotension, respiratory depression, muscular disease, malignant hyperthermia
Card 134
Question
VERAPAMIL (Isoptin) ContraInd
Answer
Hypersensitivity, Sick sinus syndrome (unless the Pt. has a functioning pacemaker), Second- or third-degree heart block. Sinus bradycardia, Hypotension, Cardiogenic shock, Severe congestive heart failure, Wolff-Parkinson-White syndrome with atrial fibrillation or flutter. Pt. receiving IV beta blockers. Give with extreme caution to Pt. receiving oral beta blockers. Wide-complex tachycardias of uncertain origin (ventricular tachycardia can deteriorate into ventricular fibrillation when calcium channel blockers are given.)
Card 135
Question
ACETAMINOPHEN (Tylenol, Ofrimev) INDICATION
Answer
fever and pain.
Card 136
Question
ACTIVATED CHARCOAL INDICATION
Answer
oral poisoning/medication overdose
Card 137
Question
ADENOSINE (Adenocard) INDICATION
Answer
Conversion PSVT to sinus ryth. May convert to WPW, not efective A-fib A-fluuter
Card 138
Question
ALBUTEROL (Proventil, Ventolin) INDICATION
Answer
bronchosp in Pt. w/obstructive airway disease (COPD/asthma).
Card 139
Question
AMIODARONE (Cordarone) INDICATION
Answer
Suppression of V-fib/ PVTach, V-tach refractory to defibrillation -Suppression of V-Tach wi a pulse
Card 140
Question
AMIODARONE (Cordarone) INDICATION
Answer
Suppression of V-fib/ PVTach, V-tach refractory to defibrillation -Suppression of V-Tach wi a pulse
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