13Feb2016
Summary A basic understanding of iodinated contrast media (ICM), the risks of their administration, the choice of the available agents, and premedication regimens for high-risk patients is beneficial…
13Feb2016
Treatment of Adverse Reactions Overview Most acute severe adverse reactions to ICM occur within 20 minutes of injection. For this reason, the patient should be monitored for a…
13Feb2016
Evaluating the Patient Before ICM Administration A pertinent patient medical history should be obtained, and the following elements should be stressed: history of allergies, asthma, diabetes mellitus, renal insufficiency, and/or cardiac diseases; currently…
13Feb2016
 Prophylaxis for Adverse Reactions to ICM Prophylactic medications Corticosteroid prophylaxis is the standard of care in the United States[1]  for the prevention of allergic contrast reactions. However, corticosteroid prophylaxis…
13Feb2016
Risk Factors for Adverse Reactions to ICM Regarding the risk for ICM-related reactions, patients can be assigned to 3 categories, as follows: (1) those with an increased risk…
13Feb2016
 Incidence of Adverse Reactions to ICM The incidence of any adverse reaction to ICM is about 15%. Most of these reactions are mild and require no treatment. Ionic…
13Feb2016
Adverse Reactions to ICM Overview Adverse reactions to ICM are classified as idiosyncratic and nonidiosyncratic.[1, 15, 19, 20] The pathogenesis of such adverse reactions probably involves direct cellular effects;…
13Feb2016
Types of Iodinated Contrast Media Approach considerations All currently used ICM are chemical modifications of a 2,4,6-tri-iodinated benzene ring.[1] They are classified on the basis of their physical and…
13Feb2016
 Since their introduction in the 1950s, organic radiographic iodinated contrast media (ICM) have been among the most commonly prescribed drugs in the history of modern medicine. The phenomenon…
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