Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
13 Cards in this Set
- Front
- Back
|
Contrast myths
|
-not caused by iodine
-not related to shellfish -not true allergy (no drug-antibody) -mechanism remains unknown |
|
|
How to deal with glucophage (metformin)
|
- patients with renal nsufficiency may develop lactic acidosis
- withhold drug for 48 hrs after contrast administration in all patients taking this drug |
|
|
Treatment for nausea and vomitting
|
Usually self-limited
protracted: Prochlorperazine (Compazine) 5-10 mg IM |
|
|
Treatment for urticaria
|
Diphenhydramine (Benadryl) 25 - 50 mg IM, caution: drowsiness
add Cimetidine (Tagamet) 300 mg in 20 ml, IV slowly |
|
|
Treatment for bradycardia
|
-Elevate legs (infuses 700 ml)
-IV fluid (normal saline) O2 3 L/min -atropine 0.6 mg IV push, repeat up to 3 mg total |
|
|
Treatment for tachycardia
|
-elevate legs
-IV fluid (normal saline) may require > 1 Liter -O2 3 L/min |
|
|
Treatment for bronchospasm or laryngioedema
|
-O2 3 L/min
-Epinephrine 1:1000 (0.1 - 0.2 ml subq) or 1:10,000 1 ml IV over 3 min -Beta 2 agonist 2 -3 puffs --albuterol (Proventyl) --metaproterenol (Alupent) --terbutaline (Brethaine) |
|
|
Treatment anaphylactoid reactions
|
-O2 3 L/min <BR>-IV normal saline <BR>-Epinephrine 0.5 mg IM first, then IV<BR>-Benadryl 25 - 50 mg IV <BR>-Tagamet 300 mg in 20 ml IV slowly <BR>-Solu-medrol 1 gm IV (or methyprednisolone 125 mg) <BR>**Note: if patient taking beta blocker <BR>-glucagon 1 - 5 mg IV bolus followed by infusion 5-15 ug/min or <BR>-isoproternol 1:5000 (0.2 mg/ml) IV 0.5 - 1.0 ml diluted in 10 ml in 1 mg increments
|
|
|
Treatment seizures
|
- protect airway
- Diazepam (valium) 5 mg IV slowly |
|
|
Pregnancy and contrast
|
Discard breast milk for 24 hours following contrast administration
|
|
|
Treatment for extravasation
|
-Elevate extremity
-Ice pack 3x day -Observe for 2-4 hours if volume > 5ml |
|
|
When is plastics indicated for extravasation?
|
ionic > 30 ml
nonionic > 100 ml skin blistering/significant tissue damage altered tissue perfusion increasing pain after 2-4 hours change in sensation distal to site of extravasation |
|
|
What is the protocol for pretreatment?
|
Benadryl 50 mg IM or PO 1 hr before procedure
Prednisone 50 mg PO 13, 7, 1 hr before procedure Observe patient at least 30 minutes following injection |
