Which is a contraindication to aspirin use?

Which is a contraindication to aspirin use?

• A. Stomach ulcers
• B. Recent head injuries
• C. GI bleeds
• D. Hypersensitivity

Answer: (D)

The key idea is identifying an absolute contraindication to aspirin. Hypersensitivity to aspirin (or to other NSAIDs) means the drug could trigger a severe allergic reaction, from hives and wheezing to anaphylaxis. Because of that risk, aspirin must not be given to someone with an aspirin/NSAID allergy. This makes hypersensitivity the clearest, universal reason not to administer aspirin in any situation. Stomach ulcers and GI bleeding are also concerns with aspirin because the drug can irritate the GI tract and worsen bleeding, so those conditions would steer you away from giving it as well. A head injury can raise bleeding risk, which would also be a reason to avoid aspirin. But the most definitive, overarching contraindication to use is an allergy to aspirin or NSAIDs, since it applies always and cannot be outweighed by other factors.

The key idea is identifying an absolute contraindication to aspirin. Hypersensitivity to aspirin (or to other NSAIDs) means the drug could trigger a severe allergic reaction, from hives and wheezing to anaphylaxis. Because of that risk, aspirin must not be given to someone with an aspirin/NSAID allergy. This makes hypersensitivity the clearest, universal reason not to administer aspirin in any situation.

Stomach ulcers and GI bleeding are also concerns with aspirin because the drug can irritate the GI tract and worsen bleeding, so those conditions would steer you away from giving it as well. A head injury can raise bleeding risk, which would also be a reason to avoid aspirin. But the most definitive, overarching contraindication to use is an allergy to aspirin or NSAIDs, since it applies always and cannot be outweighed by other factors.