Contrast Reactions and Premedication Protocol
Indications ...
343
Description

Contrast Reactions and Premedication Protocol

Indications for Premedication:

 • Prior mild-moderate allergic reaction

 • None for prior physiologic reactions

 • None for shellfish allergies

 • No cross-reactivity between iodinated contrast and gadolinium

Adult premedication protocol: (ACR 2018)

 • Elective (13 h protocol): Prednisone 50 mg PO @ 13, 7, and 1 h prior, AND Diphenhydramine 50 mg PO @ 1 h prior

 • Accelerated (4-5 h protocol): Methylprednisolone 40 mg IV now and q4h until scan, AND Diphenhydramine 50 mg IV @ 1 h prior

 • Emergent (1 h protocol): No evidence of efficacy, only if no alternatives -Methylprednisolone 40 mg IV @ 1 h prior, AND Diphenhydramine 50 mg IV @ 1 h prior



#Contrast #Reactions #Premedication #Protocol #indications #management #radiology
Contributed by

MGH White Book Manual
@MGHWhiteBook
Account created for the MGH Internal Medicine Housestaff Manual "White Book" - https://stk10.github.io/MGH-Docs/WhiteBook-2019-2020.pdf
Medical jobs
view all

0 Comments

Related content