Contra-Indications for EMS use
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| Albuterol-Proventil/Ventolin, Class- Sympathomimetic Bronchodilator | Do not give to those with known hypersensitivity to drug
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| Atorphine Sulphate-Aptrophine, Class- Parasympatholytic | Use with caution in patients with Glaucoma
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| Epinephrine 1:1,000-Adrenaline/Epinephrine/EPI Class- Sympathomimetic | No absolute contraindications in cardiac arrest. Contraindicated in pt's with known hypersensitivty.
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| Epinephrine 1:10,000-Adrenaline/Epinephrine/EPI Class- Sympathomimetic | No absolute contraindications in cardiac arrest. Contraindicated in pt's with known hypersensitivty.
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| Activated Charcoal-Actidose, Class- Absorbant | Contraindicated for treatment of posioning by cyanide, mineral acids, caustic alkalis, organic solvents, iron, ethanol and methanol
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| Ipratromim Bromide-Atrovent, Class- Parasympatholytic Bronchodilator | For pt's with know hypersensitivity to atropine. Cautious in use with pregnancy and nursing mothers
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| Adensosine-Adenocard, Class- Antidysrythmic | Pre-existing 2nd and 3rd degree AV blocks.
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| Amiodarone-Cordarone, Class- Antidysrythmic | Patients with a know hypersensitivity to the drug
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| Aspirin, Class- Analgesic | Patients with a know hypersensitivity to the drug, children with flu-like symptoms
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| Calcium Chloride 10%-Calcium Chloride, Class- Electrolyte | In V-Fib, hypercalcemia, and possible digitalis toxicity. Used with caution with pt's taking digitoxin.
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| Diazepam-Valuim, Class-Sedative; Hyptnotic; anticonvulsant; benzodiazapine; antianxiety | Patients with a know hypersensitivity to the drug, shock, OB pt's, depressed vital signs
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| Dextrose 50%-D50W, Class- Carbohydrate | No contraindications with pt's with hypoglycemia, use with caution in pt's with increasing ICP
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| Diphenhydramine-Benadryl, Class- Antihistamine | Patients with a know hypersensitivity to anti-histamines
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| Dopamine-Intropin, Class- Sympathomimetic | Pt's with pheochromocytoma, V-Fib and tachydysrhythmias
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| Furosemide-Lasix, Class- Loop Diuretic | Patients with a know hypersensitivity to the drug, do not use with pt's with hypokalemia
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| Glucogon-Glucogen, Class- Hormone | Patients with a know hypersensitivity to the drug
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| Lidocaine-Xylocaine, Class- Antidysrhythmic | Patients with a know hypersensitivity to the drug
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| Magnesium Sulfate-Magnesium, Class- Electrolyte | Contraindicated in heart blocks or myocardial damage. Dilute in D5W
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| Morphine Sulfate-Morphine, Class- Narcotic Analgesic | Patients with a know hypersensitivity to the drug, accute abdomen injuries and undiagnosed head injuries
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| Naloxone-Narcan, Class- Narcotic Antagonist | Patients with a know hypersensitivity to the drug
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| Nitroglycerine-Nitrostat/Nitrospray, Class- Nitrate | Do not give to pt's using Cialis, Levitra, Viagra, in shock, know hypersensitivity
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| Nitrous Oxide-Nitronox, Class- General Anesthetic | Who cannot understand verbal instructions, AMS
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| Nor-Epinephrine Bitartrate-Levophed, Class- Sympathomimetic | Not given to pt's with hypovolemia
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| Ondansterone-Zofran, Class- Antiemetic | No known contraindications
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| Promethazine-Phenergan, Class- Antiemetic | Patients with a know hypersensitivity to the drug, nursing mothers
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| Sodium Bi-carbonate, Class- Electorlyte | No known contraindications
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| Terbutaline-Brethine, Class- Bronchodilator | No known contraindications
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| Thiamine-Vitamin B1, Class- Vitamin | Should not be uesd as part of coma coctail
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| Lebatolol-Normodyne, Class- Beta Blocker | Not given with high degree heart blocks
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| Verapimil-Isoptin, Class- Hormone, Vasopressor | Contraindicated in WPS or sick sinus syndrome
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| Diltiazem-Cardizem, Class- Cardia Glycocide | Shelf life at room tempature is one month
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| Etomidate-Amidate, Class- Hypnotic | Known hypersensitivity, marked hypotension, severe asthma, severe cardiovascular disease
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| Fentanyl-Sublimaze, Class- Narcotic Analgesic | In patients who have received MAO inhibitors within 14 days
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| Haliperidol-Haldol, Class- Antipsychotic | In parkinson's disease, seizure disorders, coma, alcoholism, severe mental depression
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| Lorazepam-Ativan, Class- Sedative | Known hypersensitivity, children younger than 12, pregnancy, and nursing mothers
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| Vecuronium-Norcuron, Class- Nondepoarizing Skelatal Muscle Relaxant | Known hypersensitivity
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| Flumazenil-Romazicon, Class- Benzodiazepine Antagonist | Should not be used as a diagnostic agent for benzodiazepine overdose
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| Digoxin-Lanoxin, Class- Cardiac Glycoside | In digitalis hypersensitivity, V-Fib and Ventricular tachycardia unless due to CHF
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| Methylprednisolone-Solu-Medrol, Class- Steroid | There are no contraindications in using Solu-Medrol for accute anaphlaxsis
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| Midazolam-Versed, Class- Sedative | Intolerance to benzodiazepines, shock, coma, acute alcohol intoxication
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| Oxytosin-Pitocin, Class- Hormone | Contraindicated prehospital prior to delivery of the baby and in patients with know hypersensitivity
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| Succinylcholine-Anectine, Class- Depolarizing Neuromuscular Blocker | Penetrating eye injuries, narrow-angle glaucoma, known hypersensitivity
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| Vasopressin-Pitressin, Class- Hormone, Vasopressor | Ischemic heart disease, PVC's, during first stage of labor
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robillard.james
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