Changes

*'''Adrenaline''', 0.3-0.5mg in adults, given intramuscularly, is the most important initial therapy.<ref name=SURF>{{cite web|url=http://www.mastcellssjukdom.se/wp-content/uploads/2015/12/Nationella_rekommendationer_%C3%B6verk%C3%A4nslighetsreaktioner_kontrastmedel__PDF_2014-10-17.pdf|title=Hypersensitivity reactions against contrast media - Swedish Society of Uroradiology [Swedish: Överkänslighetsreaktioner mot kontrastmedel – SURFs kontrastmedelsgrupp] ], 2014-10-17}}</ref>*Summon an '''Peripheral venous catheteranesthesiologist''' and IV fluids are needed<ref name=SURF/>*Insert a '''Oxygen saturation''', '''pulseperipheral venous catheter''' and '''blood pressure''' are monitoredgive IV fluids.<ref name=SURF/>

In case of a '''contrast medium reaction''', a patient should be evaluated for the presence of the following symptoms and be medicated accordingly. Anaphylaxis anaphylaxis is a more severe allergic reaction whose diagnostic criteria generally include low blood pressure and/or respiratory distress,.<ref name="KimFischer2011">{{cite journal|last1=Kim|first1=Harold|last2=Fischer|first2=David|title=Anaphylaxis|journal=Allergy, Asthma & Clinical Immunology|volume=7|issue=Suppl 1|year=2011|pages=S6|issn=1710-1492|doi=10.1186/1710-1492-7-S1-S6}}</ref> and indicate In anaphylaxis, intramuscularly administered adrenaline is the attention of most important initial therapy.<ref name=SURF/> Also, an '''anesthesiologist ''' or corresponding clinician on dutyshould be summoned.'''Oxygen saturation''', '''pulse''' and '''blood pressure''' are monitored.<ref name=SURF/>  In general in a contrast medium reaction, the patient should be evaluated for the presence of the following symptoms and be medicated accordingly.<ref name=SURF/>