general
no way to compare when less than two revisions
Differences
This shows you the differences between two versions of the page.
— | general [2017/07/07 18:30] (current) – created - external edit 127.0.0.1 | ||
---|---|---|---|
Line 1: | Line 1: | ||
+ | ====== Initial Response to Anaphylactic Reaction ====== | ||
+ | * 1 cc of 1:10,000 epinephrine or 0.1 cc of 1:1,000 epinephrine | ||
+ | * Be sure to recognize the difference between 1:10,000 and 1:1,000 dilutions of epinephrine, | ||
+ | |||
+ | ====== GFR Guidelines for Iodinated Contrast ====== | ||
+ | |||
+ | ^ ESTIMATED GFR (ml/ | ||
+ | | ≥ 60| Negligible risk. Contrast may be given without volume expansion therapy. | | ||
+ | | 45-60 | Low risk. Estimates of CIN incidence in patients with eGFR ≥ 45 in large series range from 0% and 2.5%. Oral hydration is recommended, | ||
+ | | 30-44 | Intermediate risk. The incidence of CIN in patients with eGFR between 30 and 45 has been estimated to be between 2.9 and 9.8%. Contrast should be administered only if it is considered essential for diagnosis. | ||
+ | | <30 | Higher risk. The incidence of CIN in patients with eGFR less than 30 is greater than 10% in large cohorts. | ||
+ | |||
+ | |||
+ | |||
+ | ====== Steroid Prep Regimens ====== | ||
+ | ===== Oral ===== | ||
+ | * Prednisone | ||
+ | * 50 mg PO 13 hours, 7 hours, and 1 hour prior to contrast | ||
+ | * Benadryl* | ||
+ | * 50 mg PO 1 hour prior to contrast | ||
+ | |||
+ | |||
+ | ===== Intravenous ===== | ||
+ | * 13 hours Oral steroid prep is preferred. This is an alternative if patient cannot take PO, or if the study cannot wait 13 hours%%**%% | ||
+ | |||
+ | * Hydrocortisone | ||
+ | * 200mg IV at least 3 hours prior to scan | ||
+ | * Benadryl* | ||
+ | * 25-50 mg IV 1 hour prior to scan | ||
+ | |||
+ | \\ *sedating; patient must have driver\\ **ACR Manual on Contrast Version 6, 2008:\\ 'It is clear that administration for 3 hours or fewer prior to contrast does not decrease adverse reactions' | ||
+ | |||
dokuwiki\Exception\FatalException: Allowed memory size of 134217728 bytes exhausted (tried to allocate 20480 bytes)
An unforeseen error has occured. This is most likely a bug somewhere. It might be a problem in the authplain plugin.
More info has been written to the DokuWiki error log.