Contrast Flashcards
The propensity of an iodinated contrast medium to cause fluid from outside the blood vessel (extravascular space) to move into the bloodstream (intravascular space) is
Osmolality
Salts consisting of sodium and/or megulmine. Each molecule dissociates into two charged particles, or ions. High osmolar (Conray and Hypaque)
Ionic contrast media
Non-salt chemical compounds that contain 3 atoms of iodine per molecule. Do NOT dissociate in solution. Low osmolar (iohexol/omnipaque and ioversol/optiray). Less likely to produce adverse side effects/reactions.
Non-ionic contrast media
Have same osmolality as blood. Reduce potential of side effects. Iodixanol/visipaque
Iso-osmolar contrast media
Administered orally and/or rectally
Enteral
Administered directly into bloodstream. Anything other than GI tract
Parenteral
- May not be used in cases of suspected perforation.
- Contraindicated in patients who are to undergo surgery or other invasive procedure of the abdomen/pelvis.
- Can be potentially harmful if aspirated.
Barium sulfate
- Usually more palatable and result in less GI distress.
- Contraindicated in patients with known iodine allergy.
Water-soluble oral contrast agent
Air, gas, and water
Negative Contrast Agent
Very low density barium sulfate solution (VoLumen) for small bowel
Neutral oral contrast
Flow rate for central venous catheter (PICC)
Less than 2 mL/sec
Injection directly into the space surrounding the spinal cord
Intrathecal
Injection of contrast agent directly into joint space
Intra-articular