Contrast with Renal Dysfunction: Difference between revisions

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==Indication==
Indication = Cr > 1.1
Indication = Cr > 1.1


Harbor Cut-off 1.5 for CT
Harbor Cut-off 1.5 for CT


==PreTreatment==
 
 
Most give mucomyst, although in the original study patients received mucomyst much before the CT
Most give mucomyst, although in the original study patients received mucomyst much before the CT


===Mucomyst===
Mucomyst 600mg PO
Mucomyst 600mg PO


==Bicarb Drip===
 
*3 amps NaBicarb in 1L of D5H2O
**Bolus 3mL/kg 1hr prior to IV contrast,
 
**then 1mL/kg/hr for 6hrs after
(3 amps NaBicarb in 1L of D5H2O)
 
Bolus 3mL/kg 1hr prior to IV contrast,
 
then 1mL/kg/hr for 6hrs after
 
 


==Source==
Merten et al, JAMA 2004
Merten et al, JAMA 2004


[[Category:Rads]]
[[Category:Rads]]

Revision as of 20:46, 10 June 2011

Indication

Indication = Cr > 1.1

Harbor Cut-off 1.5 for CT

PreTreatment

Most give mucomyst, although in the original study patients received mucomyst much before the CT

Mucomyst

Mucomyst 600mg PO

Bicarb Drip=

  • 3 amps NaBicarb in 1L of D5H2O
    • Bolus 3mL/kg 1hr prior to IV contrast,
    • then 1mL/kg/hr for 6hrs after

Source

Merten et al, JAMA 2004