Term
|
Definition
2nd and 3rd degree blocks
|
|
|
Term
|
Definition
GI bleed or bleeding disorder Pt on Coumadin |
|
|
Term
|
Definition
None in emergency setting
|
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
Pts who have used Viagra within the past 24 hours BP < 100 systolic Children under 12 |
|
|
Term
|
Definition
|
|
Term
|
Definition
Asthma attacks (thickens secretions) Nursing mothers |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
Administration of chloride solutions Pts with protein allergies |
|
|
Term
|
Definition
|
|
Term
|
Definition
Pts with head injury, abdominal pain, hypotension
|
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
Administration of catacholamines (epi) and vasopressors (dopamine) because they will deactivate bicarb; don't mix with Ca++ it will precipitate clogging the line; don't admin if you don't have confirmed ventilation (H+ and bicarb combine to form carbonic acid which then breaks down further into carbon dioxide which is blown off by the lungs)
|
|
|
Term
|
Definition
Pts already on IV beta blockers Pts already with low BP Pts in cardiogenic shock Pts in A-fib/A-flutter who have a hx of WPW Pts in V-tach/wide QRS complexes |
|
|
Term
|
Definition
|
|
Term
|
Definition
Pts taking digitalis (Ca++ decreases the K levels which makes digitalis toxicity worse) Administration of bicarb |
|
|
Term
|
Definition
|
|
Term
|
Definition
Hypersensitivity to the drug Substance abuse Coma (unless seizing) Severe hypotension Shock Preexisting central nervous system depression |
|
|
Term
|
Definition
None in the emergency setting
|
|
|
Term
|
Definition
Pulmonary edema Pts who are dehydrated Severe hypotension Profound hypovolemia Hyponatremia Severe renal disease |
|
|
Term
|
Definition
Comatose states Pts who have received large doses of depressants (including alcohol) Signs associated with Reye's syndrome |
|
|
Term
|
Definition
Bradycardia Hypotension Cardiogenic shock Pulmonary congestion Severe sinus node dysfunction Second- and third-degree block |
|
|
Term
|
Definition
Pts receiving monoamine oxidase inhibitors or selective serotonin reuptake inhibitors
Undiagnosed abdominal pain Head injury During labor or delivery of a premature infant Hypersensitivity to narcotics |
|
|
Term
|
Definition
V-fib V-tach AV block Digitalis toxicity Second- and third-degree heart block in the absence of artificial pacing |
|
|
Term
|
Definition
Hypersensitivity to flumazenil or to benzodiazepine Cyclic antidepressant overdose Cocaine or other stimulant intoxication Known seizure disorder (relative) |
|
|
Term
|
Definition
Active bleeding Recent intracranial, intraspinal, or eye surgery Severe hypertension Bleeding tendencies Severe thrombocytopenia |
|
|
