Contrast Media Flashcards
Why is contrast media used in Radiography?
It is used to distinguish areas of anatomy that are of interest during imaging.
What are the 3 types of Contrast Media?
- Iodine
- Gadolinium
- Barium Sulphate
How is contrast excreted?
Through urination or via bowel movements
How is Barium Sulphate administered?
Orally or Rectally
List 4 reasons why a patient may not be given contrast
- Diabetes
- Asthma
- They have had contrast within the last 24hrs
- Dehydration
- Previous reactions to contrast
- Allergies
- Kidney disease/Renal transplant
True or False?
The estimated glomerular filtration rate (eGFR) measures the level of kidney function.
True.
What is the lowest eGFR value that a patient can present with and still have contrast without extra discussion
45mls/min
Name 3 safety precautions carried out before administering contrast
- Safety questionnaire
- Pre-scan blood tests
- Keep contrast dosage as low as possible
- Warm the contrast
How many mls of contrast are administered for a CT Brain scan?
50mls
A patient is safe to receive contrast media with an eGFR greater than..
60mls/mins
What are 2 mild reactions to contrast?
- Flushing
- Nausea
- Itching
Which examination uses 75-100mls of contrast?
CT CAP
What are the signs of Extravasation?
- Pain
- Swelling
- Tenderness
- Redness
- Itching
- Skin tightness
Define Extravasation
The leakage of fluids from a blood vessel (vein) into the surrounding tissues
What steps should you take in the case of Extravasation?
- Discontinue the injection
- Raise the limb
- Apply an ice pack
- Inform the Radiologist
- Keep the patient under observation