Prevention of Renal Radiocontrast Nephropathy

Prevention of Renal Radiocontrast Nephropathy is a topic covered in the Pocket ICU Management.

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First Things First (assess and treat for the following)

  • Prevention is better than cure: if GFR < 50 mL/min/1.73m3, especially if additional risk factors are present, consider alternative imaging modality.
  • If radiocontrast is needed, use a low-osmolar agent and minimize the dose.
  • Defined as increase in serum creatinine of 25% from baseline within 1-4 days after contrast administration

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Last updated: April 29, 2010