Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Radiology Nursing /

Withholding metformin pre-contrast



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,146 members! Join today to network with other nurses, laugh, share, and much more.

May 25, 2003 10:34 PM

Withholding metformin pre-contrast

by dianah Staff

What is your protocol for withholding metformin before pt receives IV contrast for CT, IVP, angio, heart cath?? Based on recent literature, we withhold it the day of exam and 48hr after, making sure urine output remains good (if outpt), or there is no change in BUN/creat post exam (if inpt), before restarting it. Have recently found that other labs withhold it for 48hr pre-exam, and then restart after exam. Just curious what other labs/depts are doing, and their rationale.
Also, do you use nonionic contrast exclusively, or is its use based on patient risk factors (diabetic, renal function, etc)?
Thanks for the input! --- Diana


Share

Search Tags
None
Top

 
Advertisement
Sponsored Links
 
Reply
5 Comments
No. 1
from Audreyfay
Old May 26, 2003, 07:59 AM

Our protocol is the same as yours...withhold on the day of exam and 48 hr after if BUN/Cr is WNL. I'm not sure about the contrast since I don't actually work in XR.
Top
 
No. 2
from dianah
Old May 26, 2003, 10:08 AM

Thx Audreyfay! Look forward to other responses. . .
Top
 
No. 3
Old May 26, 2003, 11:50 AM

Same as you. We have both regular and non-ionic contrast, but use non-ionic 98% of the time. There is one doc who will argue 'til he's blue in the face that contrast choice makes no difference in contrast induced nephropathy. We're supposed to use non-ionic only if the patient meets certain criteria (diabetic or renal insufficiency or contrast allergy etc). But if the doctor wants non-ionic, we'll use it regardless.
Top
 
No. 4
from Chttynurs
Old May 26, 2003, 08:50 PM

Yup, we do the same as you. Withhold 24 hours before and 48 hours after then resume...if creat is okay. I don't work radiology but we send patients sometimes.
Top
 
No. 5
from dianah
Old May 26, 2003, 09:45 PM

Glad to hear you're informed, even if you don't work Radiology! Sadly, some nurses are totally unaware of the risks of giving contrast, as well as the risks associated w/pt taking metformin and giving contrast. Good for you!! Thanks for all the responses!
Top
 
Reply




Thread Tools


Who's Online
194 members
1,680 guests
1,874

6

California Imposes Stricter Rules Regarding Drug Abuse In...

20

Are older nurses being forced out of the profession?

3

An outlook in California?

8

Australian surgeons successfully separate conjoined twins

42

Disruptive behavior by doctors, nurses persists a year...

31

Woman sues after police tackle her in ER during premature...

5

Beyond The Last Lecture -For Randy & Jai Pausch nurses...

18

WHO: Give at-risk groups anti-flu drugs early

21

Nursing, medical schools should work together, experts say

6

Army nurse honored after 100th birthday



1

Society Needs Care Too

11

Why am I doing this, anyway?

2

Nurse Heal Thyself

9

My Papa, why I am the nurse I am today.

17

I made it through

11

An angel's gaze

14

A Sister Never Forgets

16

Ruby's Marbles

37

What Do Operating Room Nurses Do?

14

My Little Old Jedi

20

I love this job......

23

"I hear voices"

19

Preventing FRUTI (Foley Related Urinary Tract Infection) in...

24

Error and Attitude

10

It's Just a Shower





Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: