xray contrast allergy policies

[olygurl98502]

Hi,

I have been looking for our OR policy for giving contrast media to our patients with an iodine allergy.

We have three choices, all with iodine, just bound differently for less of a reaction or less potential renal impairment. Our xray department does not have any policy either. What is the policy at your facility. Thanks for any input!

[jwk]

Hi,

I have been looking for our OR policy for giving contrast media to our patients with an iodine allergy.

We have three choices, all with iodine, just bound differently for less of a reaction or less potential renal impairment. Our xray department does not have any policy either. What is the policy at your facility. Thanks for any input!

I can imagine an OR MAYBE not having the policy - but your radiology department MUST have one somewhere, otherwise they wouldn't be stocking three different contrast media.

[olygurl98502]

No, no real policy according to the staff I talked to. They use one for vasc. cases, another for people who might be allergic because it is bond differently and the third is the regular hypaque. I'll just have to keep digging. Thanks.

[jer_sd]

there are various premedication formulas for contrast, here is teh one i use the most

prednisone 50mg 12 hours before contrast administration and 50mg 2 hours before contrast administration and

benadryl 50 mg 12 hours before contrast adminstration and 50mg 2 hours before contrast adminsration

here is a great refrence to read

www.acr.org/secondarymainmenucategories/quality_safety/contrast_manual.aspx

jeremy

[olygurl98502]

Thanks for the input and great reference!