OPEN ACCESSJanuary 31, 2013Curriculum for the Management of Contrast Media Reactions, Contrast Induced Nephropathy & Nephrogenic Systemic Fibrosis Puneet Bhargava, MD, Adeel Seyal, Chandana Lall, Mariam Moshiri, Jennifer Schopp, Jennifer Favinger, Carolyn Wang, Neeraj Lalwani, Martin Gunn, William Bush Puneet Bhargava, MD University of Washington School of Medicine Google Scholar More articles by this author , Adeel Seyal Harris Medical Center Google Scholar More articles by this author , Chandana Lall University of California, Irvine Google Scholar More articles by this author , Mariam Moshiri University of Washington Google Scholar More articles by this author , Jennifer Schopp University of Washington Google Scholar More articles by this author , Jennifer Favinger University of Washington Google Scholar More articles by this author , Carolyn Wang University of Washington Google Scholar More articles by this author , Neeraj Lalwani University of Washington Google Scholar More articles by this author , Martin Gunn University of Washington Google Scholar More articles by this author , William Bush University of Washington Google Scholar More articles by this author https://doi.org/10.15766/mep_2374-8265.9333 SectionsAbout ToolsDownload Citations ShareFacebookTwitterEmail AbstractRadiologists supervising imaging studies using contrast media should have the necessary knowledge and skills to deal with adverse contrast media reactions and their appropriate management. The aim of this curriculum is to educate practicing radiologists, residents, fellows, non-radiology house staff covering contrast administration after hours, and hospital code teams regarding current recommendations for dealing with contrast media reactions, contrast-induced nephropathy and nephrogenic systemic fibrosis. Various drugs used in the management of these reactions are reviewed in detail and an algorithmic approach to the management of these reactions is provided. We also review the medication regimens that can minimize the risk of these complications. Our curriculum incorporates the current guidelines as recommended by the American College of Radiology in their manual on contrast medium published in 2012. Pretest questions have been provided for self-assessment. We encourage all physicians responsible for contrast media administration and reaction management to review this curriculum on a regular basis, at least biannually. Algorithms provided are also a good resource for placement in radiology suites and hospital crash carts. Educational Objectives By the end of this module, the learner will be able to: Review acute reactions to contrast media and their management.Discuss premedication regimens employed in susceptible patients prior to administering the contrast media.Review contrast-induced nephrotoxicity and nephrogenic systemic fibrosis along with guidelines for administering contrast media in different stages of renal failure. Interventions that can minimize the risk of these complications have been discussed. ReferencesFavinger J, Bastawrous S, Bhargava P. Management of Acute Contrast Media Reactions: Assessing Preparedness of a Tertiary Care Veterans Affairs Medical Center. Journal of the American College of Radiology. Available online 22 February 2013 from http://dx.doi.org/10.1016/j.jacr.2012.12.019Google Scholar Sign up for the latest publications from MedEdPORTAL Add your email below FILES INCLUDEDReferencesRelatedDetails FILES INCLUDED Included in this publication: Instructor's Guide - Contrast reactions, CIN & NSF teaching file.doc Contrast Reactions, CIN & NSF teaching file.ppt Web Link Access_9333.pdf To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. Download editor’s noteThis publication may contain technology or a display format that is no longer in use. CitationBhargava P, Seyal A, Lall C, Moshiri M, Schopp J, Favinger J, Wang C, Lalwani N, Gunn M, Bush W. Curriculum for the Management of Contrast Media Reactions, Contrast Induced Nephropathy & Nephrogenic Systemic Fibrosis. MedEdPORTAL. 2013;9:9333. https://doi.org/10.15766/mep_2374-8265.9333 Copyright & Permissions© 2013 Bhargava et al. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-No Derivatives license.KeywordsContrast Induced NephropathyContrast Media ReactionsNephrogenic Systemic Fibrosis Disclosures None to report. Funding/Support None to report. tabs.loading
