Download Contrast and Reactions

Screening for Contrast and
Reactions
Barnes-Jewish Hospital
Monica White MBA, RT, R
Contrast Media Is a Drug
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Drugs Given Over Time Verses a One-Time
Bolus
Medication to Treat a Condition Verses to
Visualize Structures
IV Medications Isotonic to Plasma Verses
Contrast up to 7 Times More Osmolar
Typical Reactions to Contrast
Media
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Nausea and Vomiting
Hives to Urticaria
Hypotension
Anaphylactic Reactions
Typical Reactions to Contrast
Media
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Vagal Reaction
Cardiovascular Collapse- CARDIAC
ARREST
Seizures or Convulsions
Risk Factors
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General Patient Status
History of Severe Allergy
History of Asthma
Renal Disease
Age
Multiple Myeloma
Sickle Cell Anemia
Absolutely No Ionic Contrast
Should Be Used for
Myelograms or Spinal
Injections
CM-ARF
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Pre-Existing Renal Insufficiency
Diabetes Mellitus
Dehydration
Cardiovascular Disease and Diuretics
Advanced Age
Multiple Myeloma
Hypotension
Hyperemia
General Patient Preparation
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History
Hydration
Handle It
Heads Up
Pre Medication
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Steroids (Prednisone or Hydrocortisone)
Antihistamines (BenadrylDiphenhydramine)
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Nonionic Contrast
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Complications and Reactions
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Nausea and Vomiting
Cool Cloth on Forehead
Slow the Rate
Compazine
Hives and Urticaria
Observe Patients (IV Access Maintained)
Benadryl (Diphenhydramine)
Complications and Reactions
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Bronchospasm
Inhaled Bronchodilators
Epinephrine
Subq or IM 0.1-0.5Ml1:1,000 (Vial)
Every 10-15 Minutes
IV: 1cc of 1:10,000 (Bristoject) IV Slowly
Complications and Reactions
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Laryngeal Edema
Epinephrine
Benadryl or Histamine Blockers
True Medical Emergency
Complications and Reactions
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Hypotension With Tachycardia
Check Blood Pressure
Elevate Legs
IV Fluids Under Physician's Supervision
Nurses in Area or Code Team
Complications and Reactions
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Vasovagal Reaction
IV Fluids
Atropine (IV Push 0.5-1.0 mg)
May Be Repeated up to a Total of 2 mg
Complications and Reactions
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Anaphylaxis, Circulatory Collapse and
Shock
Call a Code
CPR
Being Prepared for an
Emergency
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Check Procedure Room
Replace Emergency Equipment
Check and Know Where Crash Cart
Located
If Unlocked Contents Replaced
Immediately
Check Oxygen Tank
Being Prepared for an
Emergency
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Defibrillator Checked Daily
Designated Personnel
Wall Outlets for Oxygen and Suction
Checked Daily; Oxygen and Suction Tubing
Know the Code Number
2-2700