Introduction
In this assignment, I be given 1 case study which is A 75 years old female patient was scheduled for a CT Abdomen with contrast media (CM) administration. There is no detail information on CM history, but the patient reported with lower limb swelling, high blood pressure and high protein in the urine. A recent test on BUN and creatinine level also was high. She is currently on a medication.
Condition of patient
Based on the sign and symptoms that be mention erlier this patient might be suffer from the chronic renal failure. According to Melissa, 2007, chronic renal failure (CRF) is an irreversible decline in renal function, or glomerular filtration rate (GFR), with associated imbalances in biochemical homeostasis. (Melissa Gregory, …show more content…
Hocm is ionic CM, it will initiate more reaction to the body and increase the risk to get CIN. The osmolarity of LOCM is 600-850 mOsm/kg which is 2-3 time more that osmolarity of the plasma. IOCM have osmolarity approximately 290mOsm/kg which is same as osmolatity’s plasma. Both of it is non-ionic CM. Therefore, among these three type of CM, IOCM and LOCM can be consider to use during the examination due to its non-ionic CM which no nephrotoxic compared to HOCM. The volume of the CM also need to be reduce for this examination, only used as minimum as we can. The volume of the contrast given must not be affected the quality of the radiograph. If the quality of the radiograph is affected, anoter repeted examination should be do and it will increase the dose to the patient.
CIN also can be prevent by the patient is Adequately hydrated. Usualy the normal saline is be used and be given to the patient because of being safe, effective, and inexpensive. The volume of the supplement has been stated for the prevention of CIN. For example, 500 mL of water (tea, mineral water) orally before and 2,500 mL for 24 hours after contrast administration. This fluid intake should secure diuresis of at least 1 mL/min in a non-dehydrated
In this assignment, I be given 1 case study which is A 75 years old female patient was scheduled for a CT Abdomen with contrast media (CM) administration. There is no detail information on CM history, but the patient reported with lower limb swelling, high blood pressure and high protein in the urine. A recent test on BUN and creatinine level also was high. She is currently on a medication.
Condition of patient
Based on the sign and symptoms that be mention erlier this patient might be suffer from the chronic renal failure. According to Melissa, 2007, chronic renal failure (CRF) is an irreversible decline in renal function, or glomerular filtration rate (GFR), with associated imbalances in biochemical homeostasis. (Melissa Gregory, …show more content…
Hocm is ionic CM, it will initiate more reaction to the body and increase the risk to get CIN. The osmolarity of LOCM is 600-850 mOsm/kg which is 2-3 time more that osmolarity of the plasma. IOCM have osmolarity approximately 290mOsm/kg which is same as osmolatity’s plasma. Both of it is non-ionic CM. Therefore, among these three type of CM, IOCM and LOCM can be consider to use during the examination due to its non-ionic CM which no nephrotoxic compared to HOCM. The volume of the CM also need to be reduce for this examination, only used as minimum as we can. The volume of the contrast given must not be affected the quality of the radiograph. If the quality of the radiograph is affected, anoter repeted examination should be do and it will increase the dose to the patient.
CIN also can be prevent by the patient is Adequately hydrated. Usualy the normal saline is be used and be given to the patient because of being safe, effective, and inexpensive. The volume of the supplement has been stated for the prevention of CIN. For example, 500 mL of water (tea, mineral water) orally before and 2,500 mL for 24 hours after contrast administration. This fluid intake should secure diuresis of at least 1 mL/min in a non-dehydrated