Prevention of contrast medium reaction - Revision history

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Mikael Häggström: Created page with "{{Top |author1=Mikael Häggström |author2= }} Prevention of contrast medium reaction for CT with IV contrast: ==Pre-medication== ===Indic..."

2018-11-12T14:24:27Z

Created page with "{{Top |author1=Mikael Häggström |author2= }} Prevention of contrast medium reaction for CT with IV contrast: ==Pre-medication== ===Indic..."

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Prevention of [[contrast medium reaction]] for [[CT with IV contrast]]:

==Pre-medication==
===Indication===
Before a contrast CT of a patient with known allergic-like or unknown-type of contrast reaction to the same class of contrast medium (such as iodinated), the American College of of Radiology recommends premedication.

Asthma, atopy, and drug or food allergy have been regarded as generally not conferring enough risk to motivate glucocorticiod premedication.<ref>{{cite web|url=https://www.cdha.nshealth.ca/|website=Nova Scotia Department of Health and Wellness|accessdate=2018-08-25|title=Guidelines for contrast media pre-medication}} October 2014</ref>

===Medication===
Preferably a glucocorticoid, preferably starting 12 or 13 hours before contrast administration.<ref>{{cite web|url=https://www.acr.org/-/media/ACR/Files/Clinical-Resources/Contrast_Media.pdf#page=11|Page 9 in: Manual on Contrast Media|website=American College of Radiology, Committee on Drugs and Contrast Media|accessdate=2018-08-25}} Version 10.3. 2018. ACR </ref>

In emergent adults and children over the age of 6 Swedish guidelines<ref>At NU Hospital Group, local guideline approved from May 4, 2018</ref> recommend IV hydrokortisone, 200mg, immediately and then every 4 hours until the CT is done.

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 ===Medication===
-Preferably a glucocorticoid, preferably starting 12 or 13 hours before contrast administration.<ref>{{cite web|url=https://www.acr.org/-/media/ACR/Files/Clinical-Resources/Contrast_Media.pdf#page=11|Page 9 in: Manual on Contrast Media|website=American College of Radiology, Committee on Drugs and Contrast Media|accessdate=2018-08-25}} Version 10.3. 2018. ACR </ref>
+Preferably a glucocorticoid, preferably starting 12 or 13 hours before contrast administration.<ref>{{cite web|title=Premedication Strategies|url=https://www.acr.org/-/media/ACR/Files/Clinical-Resources/Contrast_Media.pdf#page=11|Page 9 in: Manual on Contrast Media|website=American College of Radiology, Committee on Drugs and Contrast Media|accessdate=2018-08-25}} Version 10.3. 2018. ACR </ref>
 In emergent situations in adults and children over the age of 6, Swedish guidelines recommend the following pre-medication:<ref name=NU>At NU Hospital Group, local guideline approved from May 4, 2018</ref>

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 Prevention of [[contrast medium reaction]] for [[CT with IV contrast]]:

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 Preferably a glucocorticoid, preferably starting 12 or 13 hours before contrast administration.<ref>{{cite web|url=https://www.acr.org/-/media/ACR/Files/Clinical-Resources/Contrast_Media.pdf#page=11|Page 9 in: Manual on Contrast Media|website=American College of Radiology, Committee on Drugs and Contrast Media|accessdate=2018-08-25}} Version 10.3. 2018. ACR </ref>
-In emergent  adults and children over the age of 6 Swedish guidelines<ref>At NU Hospital Group, local guideline approved from May 4, 2018</ref> recommend IV hydrokortisone, 200mg, immediately and then every 4 hours until the CT is done.
+In emergent situations in adults and children over the age of 6, Swedish guidelines recommend the following pre-medication:<ref name=NU>At NU Hospital Group, local guideline approved from May 4, 2018</ref>
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