Acls Drug Contraindications And Precautions

Front 1

Adenosine

Back 1

-Poison or drug induce Tachycardia
-2nd or 3rd degree block
-Safe and effective in pregnancy

Front 2

Amiodarone

Back 2

-Large doses are associated with hypotension
-Do not give with drugs that prolong QT interval
-Very long half life 40 days

Front 3

ASA

Back 3

-Pt with active ulcers or asthma

Front 4

Atropine Sulfate

Back 4

-Dont give with Acute MI as it increase oxygen demand. (Don't give, consult MD)
-Avoid in hypothermic bradycardia.
-Not effective in type 2 and 3rd degree blocks.

Front 5

Dopamine

Back 5

-Correct hypovolemic with volume replacement than consider dopamine
-Use caution with cardiogenic shock with acompanying CHF
-May cause tachydysrhythmias, excessive vasoconstricion
-Do not mix with sodium bicarb

Front 6

Epinephrine

Back 6

-Rasing heart rate and BP may cause MI, angina, and increased O2 demand on the heart.
-Higher doses do not improve neurological outcome.
-Higher doses may be needed for tx drug/poison induced shock.

Front 7

Furosemide

Back 7

Dehydration, hypovolemic, hypotension, hypokalemia, or other electrolyte imbalances may occur.

Front 8

Lidocaine

Back 8

-Prophalactic use in AMI is contraindicated.

Front 9

Morphine Sulfate

Back 9

-Administer slowly and titrate to effect.
-Watch for respiratory depression.
-Causes hypotension in hypovolemic pts.
-Use with caution in Rt ventricular infarction.

Front 10

Nitroglycerin

Back 10

-Do not let BP drop below 90mmHg systolic.
-Pt should be lie or sitting down when receiving med.

Front 11

Sodium Bicarbonate

Back 11

-The major buffering agents in cardiac arrest is good CPR
-Not recommended in routine use in cardiac arrest

Front 12

Vasopressin

Back 12

-Contraindicated with CAD
-Very potent vasoconstrictor may cause ischemia or angina.