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Reactions and Complications

questionHow often do contrast reactions occur to IV contrast?
questionAlthough most iodinated contrast reactions are typically mild, what is the long term sequelae to the patient who gets a reaction?
questionAre there specific patients or risk factors that make it more likely to get a contrast reaction?
questionWill faster injection rates (3-4 cc/sec vs. 1 cc/sec) result in an increased incidence of contrast reactions?
questionWhat are the categories of contrast reactions?
questionDeath is one of the potential complications of IV contrast. How often does this occur?
questionWhat are the risks of IV contrast in terms of renal failure (CIN)? How often does CIN occur? How we prevent CIN?
questionWho can not get IV contrast material?

Allergic Reactions

question

Part 1: Can a patient get a rash from IV contrast? Can it occur 24-36 hours post CT study?

Part 2: How do you treat the rash?

questionIs it possible for a patient to get a delayed reaction to IV contrast?
questionWhat if a patient is allergic to IV contrast material?
question

Part 1: What patients are allergic to IV contrast?

Part 2: Can we premedicate these patients and if yes what is our premedication protocol?

questionOur patient needs the study now. What else can we do?
questionThe patient is allergic to shellfish or crabs. Can they get a IV contrast?

Extravasation

questionWhat is contrast extravasation and how often does it occur?
questionHow do you prevent contrast extravasation?
question

Part 1: How do we treat contrast extravasation when it happens?

Part 2: Is cold compresses the rule or hot compresses?
questionWhat if extravasation does occur. How often are there severe complication?