From: Dieter <[EMAIL PROTECTED]> We check the creatine of all patients who are receiving iodinated iv contrast prior to injection unless they are out patients. With out patients it becomes more difficult but the patients are asked if they know if they have any kidney problems. High creatine patients (>120) are discussed with the team looking after the patients to indicate appropriate management ie iv fluid or dialysis.
Dieter At 13:22 26/03/2003 +1100, you wrote: > From: "Jim de Jong" <[EMAIL PROTECTED]> > >Gday Phil > >I agree with Geoffrey, except of course when renal failure is to an >extent that they are on dialysis. > >We do have what is known locally as the "Mucomyst Protocol". Ref >"Prevention of Radiographic-Contrast-Agent - Induced Reductions in Renal >Function by Acetylcystein" N Engl J Med 2000; vol:343, No:3, 180-4. >This protocol 'appears' to significantly lower the risk in a group of >these high risk patients. > > >Jim de Jong >Radiology, Ballarat Base Hospital >Ballarat VIC 3350 Australia >+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+= + >Ph: (03) 5320 4273(w) E mail : [EMAIL PROTECTED] (Com) >Fax: (03) 5320 4830(w) [EMAIL PROTECTED] (AIR) >Mobile: 041 934 9815 [EMAIL PROTECTED] (work) > [EMAIL PROTECTED] (Dept) > [EMAIL PROTECTED] (Pte) >Websites: http://www.ausinrad.com http://www.autores.com.au >http://www.control-x.com.au > > From: Geoffrey Dick <[EMAIL PROTECTED]> > >all patients that receive iv contrast media should have their creatinine > >and urea checked (if available) before they are given iv contrast. We >are >responsible because we are giving the contrast to the patient. > >cheers >Geoffrey Dick >CT Supervisor Dandenong Hospital >Honorary Lecturer Monash University >Post Graduate tutor RMIT university > > From: "Phil & Kathleen" <[EMAIL PROTECTED]> > >Are any departments routinely performing pre-injection screening of = >patients for potential nephrotoxicity following the planned = >administration of contrast media? I would be interested in receiving = >pre-injection screening policies from anyone who performs this, as one >= >of our docs is suggesting that we should screen all of our patients with >= >renal function tests prior to administration of contrast media. Pls = >reply via airnews or privately at the address below. > >regards, > >Phil Darby >[EMAIL PROTECTED] +=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+= This message is being broadcast by AIRNEWS, the Australian Institute of Radiography list Server Send messages to [EMAIL PROTECTED] For assistance send mail to [EMAIL PROTECTED] Commands should be sent to [EMAIL PROTECTED] Opinions expressed on this list are not necessarily those of the moderator, his assistants or those of the A.I.R.
