Dextrose (D50, D25, D10)

Contraindications:

• Intracranial hemorrhage
• Delirium tremens

Diazepam (Valium)

Contraindications:

• Hypersensitivity
• Glaucoma
• Coma
• Shock
• Substance abuse
• Head injury

Diphenhydramine hydrochloride (Benadryl)

Contraindications:

• Asthma
• Glaucoma
• Pregnancy
• Hypertension
• Infants

Epinephrine (1:1000, 1:10,000)

Contraindications:

• Hypertension
• Hypothermia
• Pulmonary Edema
• Coronary Insufficiency
• Hypovolemic Shock

Fentanyl citrate (Sublimaze)

Contraindications:

Known intolerance

Glucagon

Contraindications:

• Hyperglycemia
• Hypersensitivity

Hydrocortisone sodium succinate (Cortef, Solu-Cortef)

Contraindications:

Hypersensitivity

Hydroxocobalamin (Vitamin B 12)
*cyano-kit

Contraindications:

None

Ketamine (Ketalar)

Contraindications:

• Hypersensitivity
• Conditions where hypertension could be dangerous to the patient’s care.

Lorazepam (Ativan)

Contraindications:

• Coma
• Shock
• Suspected drug abuse

Methylprednisolone sodium succinate (Solu-Medrol)

Contraindications:

Hypersensitivity

Midazolam (Versed)

Contraindications:

• Glaucoma
• Shock
• Coma
• Alcohol intoxication
• Overdose patient
• Depressed vital signs

Concomitant use with other CNS depressants, barbiturates, alcohol, narcotics.

Naloxone (Narcan)

Contraindications:

• Use with caution in narcotic-dependent patients.
• Use with caution in neonates of narcotic-addicted mothers.

Ondansetron (Zofran)

Contraindications:

• Hypersensitivity to ondansetron, other selective 5-HT3 antagonists, or any component of the formulation

Pralidoxime chloride (2-PAM, Protopam)

Contraindications:

• Use with caution in patients with reduced renal function.
• Patients with myasthenia gravis and organophosphate poisoning.

Tranexamic acid (TXA)

Contraindications:

• Hypersensitivity
• Subarachnoid hemorrhage
• History of PE, DVT, or other thromboembolic event;
• Mechanism of injury greater than 3 hours