Contrast Reactions and Pre-Medication
Lecure on managing contrast reactions.
description of contrast media control systems to assure compliance with JCAHO standards
File: uwhc-contrast-media-control-systems.pdf
Instructions and link to exam on uwhealth.org
File: contrast-reaction-test-instructions.pdf
Extensive tutorial on contrast agents
File: contrast-agents-tutorial.pdf
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Purpose: reduce the number of patients with known allergies scanned at East Clinic, Digestive Health Center, and other non-hospital outpatient centers.
- If a patient is being scheduled for a contrast-enhanced CT and has an allergy to iodinated contrast or “contrast” then the study should be done at CSC, TAC or One South Park.
- If a patient is being scheduled for a contrast-enhanced MRI and has an allergy to gadolinium-based contrast or “contrast” then the study should be done at CSC, TAC or One South Park.
- If the patient has a list of 5 or more allergies to anything and has an order for a contrast-enhanced CT or contrast-enhanced MRI, then the patient should be scheduled at CSC, TAC or One South Park.
- If the caller tells the screener that they have had an “anaphylactic” or “anaphylactoid” reaction, and the patient has an order for a contrast-enhanced CT or contrast-enhanced MRI they should be scheduled at CSC or TAC. Please note that the schedulers are not obligated to search the medical records for the severity of reactions.
- Pre-medication is only indicated for those patients with known allergies to iodinated contrast or gadolinium-based contrast agents, and should be communicated at the physician level. (See Prophylaxis policy for patients allergic to IV contrast).