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Signa GE 1.5 T  LX 9.1 protocols

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GE 1.5 Platforms

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Discography

Referring Providers

Iodinated Contrast

Pre-IR Checklist

Contrast Reaction typically begins within 20 minutes of the injection.

Mild Symptoms

Scattered urticaria; pruritus; rhinorrhea; nausea; brief retching, and/or vomiting;diaphoresis;coughing; and dizziness.

FOR MILD TO MODERATE URTICARIA, PRURITIS, OR ERYTHEMA:

                No therapy needed in most cases

                Benadryl, 50mg or 1mg/kg p.o./i.m./I.V.

                Watch for 30 minutes        

                Have someone drive the patient home

FOR SEVERE URTICARIA, PRURITIS, OR ERYTHEMA:

                Epinephrine, 1:1000, 0.3 ml SQ (subcutaneously), or 0.01ml/kg, if there is no cardiac contraindication

FOR FACIAL OR LARYNGEAL EDEMA, OR STRIDOR:

                Oxygen

                Epinephrine, 1:1,000, 0.3ml SQ (0.01 ml/kg)

§         if SQ epinephrine fails or if patient experiences vascular collapse then give:

        epinephrine,   1:10,000, 3ml I.V. slow push

FOR BRONCHOSPASM OR WHEEZING:

                Oxygen, pulse oximeter (severe, <88%)

                Bronchodilator nebulized in NS 2.5ml, such as:

Ø      Isoetharine, 1% (Bronkosol), 0.25 to 0.5ml

Ø      Albuterol, 0.5% (Ventolin, Proventil), 0.5ml

Ø      Metaproterenol, 5% (Alupent, Metaprel), 0.3ml

¨       If no improvement:

§         Epinephrine, 1:1,000, 0.3 ml SQ (0.01 ml/kg)

Ø      If SQ fails or if patient experiences vasular collapse then give:  Epinephrine, 1:10,000, 3ml IV slow push

FOR HYPOTENSION WITH TACHYCARDIA, OR SHOCK:

                Oxygen,Trendelenberg

                Lactated Ringers Solution, I.V. wide open

¨       If no improvement:

§         Epinephrine, 1:1,000, 0.3 ml SQ (0.01 ml/kg)

¨       If SQ fails or vascular collapse:

§         Epinephrine, 1:10,000, 3ml I.V. slow push

HYPOTENSION WITH BRADYCARDIA (VAGAL REACTION)- no B Blocker:

                Oxygen, Trendelenberg

                Lactated Ringers I.V. wide open

¨       If no improvement:

§         Atropine, 0.5 to 1.0 mg I.V. slow push, repeat up to 2.0mg total