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Recomendations for treatment of contrast media
extravasations from the American College of Radiology are:
Elevate affected extremity
Apply ice packs at 15-60 minute intervals
Call physician if volume > 5ml
Consult plastic surgeon if volume:
> 30ml ionic contrast
> 100ml non-ionic contrast
Monitor patient for:
Blistering
Ulceration
Altered tissue perfusion, sensation or temperature
Increased or persistent pain
American College of Radiology
Committee on Drugs and Contrast Media.
Manual on contrast media.
4th Ed. American
College of
Radiology, Reston, Va.
1998
Hope this helps,
Nancy Costa
CRNI
----- Original Message -----
Sent: Saturday, November 19, 2005 1:01
PM
Subject: Re: CT Contrast
Extravasation
Immediate application of cold for anything that is hypertonic. Vitrase, a
brand of hyaluronidase, is available now, but not aware of any published case
reports. If severe, I would get a surgery consult as there could be
compartment syndrome or necrotic ulcer depending on the volume and type of
contrast. Lynn
At 1:27 PM -0800 11/18/05, Kimberly Sutters wrote:
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Dear Colleagues -
Are you aware of specific treatment
recommendations for the management of a contrast extravasation? We had
a patient with an antecubital PIV who had a significant infiltration during
administration of IV contrast with the power injector.
I would appreciate your feedback.
Thanks,
Kim
Kimberly A. Sutters, RN, PhD
Clinical
Nurse Specialist, Surgical Services, Pain Management
Children's Hospital
Central California
9300 Valley Children's Place (FW07)
Madera, CA
93638-8762
(559) 353-5440 (phone)
(559) 353-8049 (fax)
[EMAIL PROTECTED]
Children's Hospital Central California
A
Great Place to Get
Better
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--
Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126
Main Street, PO Box 10
Milner, GA
30257
http://www.hadawayassociates.com
office
770-358-7861
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