Discuss the possible adverse reactions to the iodinated contrast media that the patient may encounter and how they can be prevented.
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Q1: A 70 year old patient with chronic renal failure has been scheduled for a coronary angiography examination. Discuss the possible adverse reactions to the iodinated contrast media that the patient may encounter and how they can be prevented.
Essay structure in details:
Introduction:200 WORDSRenal failure (General statement about the renal failure + Definition)What is the coronary angiography (what is the purpose of it)Contrast media (what is the purpose of it)
Body1:350 WORDSChronic renal failure (what– How– why)
Body 2:300 WORDSCoronary angiography (what– How– why)
Body3:350 WORDSIodinated Contrast Media (what is it – types )The most important factors in contrast media:OsmolalityIonic or non-ionicStrengthViscosityChemotoxicity
Body 4: 300 WORDSDiscuss the possible adverse reactions to the iodinated contrast media that the patient may encounterMinor: Flushing-Nausea-Vomiting-Mild rash-Arm pain.Moderate: More severe-urticaria Facial oedema-Hypotension-BronchospasmSevere: Hypotensive shock-Laryngeal oedema-Convulsions-Respiratory and cardiac arrest
Body 5:300 WORDSprevention methods of the adverse reactions:Compared with HOCM, LOCM result in less nephrotoxicity but still can cause nephropathy.The radiologist or cardiologist should use the smallest volume of contrast needed to obtain the imagingNonsteroidal anti‐inflammatory drugs should be discontinued before contrast exposure.
Conclusion:200 WORDSSummarise the key pointsRecommendation (another imaging modality which is nuclear medicine) and (another contrast medium)
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