Difference between revisions of "Contrast medium reaction"
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{|class="wikitable" | {|class="wikitable" | ||
− | !rowspan=2| Indication<ref name=SURF/> !!rowspan=2| Medication<ref name=SURF/> !!rowspan=2| Route<ref name=SURF/> !!colspan=2| Dosage<ref name=SURF/> !!rowspan=2| | + | !rowspan=2| Indication<ref name=SURF/> !!rowspan=2| Medication<ref name=SURF/> !!rowspan=2| Route<ref name=SURF/> !!colspan=2| Dosage<ref name=SURF/> !!rowspan=2| Time to effect<ref name=SURF/> || Repeat |
|- | |- | ||
! Adults !! Children | ! Adults !! Children | ||
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**≥20kg: 0.3 mg | **≥20kg: 0.3 mg | ||
| Less than 5 min | | Less than 5 min | ||
− | * | + | | Every 5-10 min if needed |
+ | |- | ||
+ | | Asthma | ||
+ | | Salbutamol (Ventolin) or own bronchodilator | ||
+ | | Inhalation | ||
+ | | | ||
+ | *5 mg | ||
+ | *Usually 4-6 doses | ||
+ | | | ||
+ | *2-6 doses | ||
+ | | Less than 5 min | ||
+ | | Every 10 mins if needed | ||
+ | |- | ||
+ | | Hypoxia | ||
+ | | Oxygen | ||
+ | | Mask | ||
+ | |colspan=2| >5 l/min | ||
+ | | Almost immediate | ||
+ | | Continuous | ||
+ | |- | ||
+ | | Altered level of consciousness or hypotension | ||
+ | | Volume expander such as Ringer's | ||
+ | | IV with pressure | ||
+ | |colspan=2| 20mg/kg | ||
+ | | Fast | ||
+ | | As needed | ||
+ | |- | ||
+ | | All anaphylaxis cases | ||
+ | | Antihistamine such as desloratadine (Clarinex/Aerius) | ||
+ | | Oral | ||
+ | | 10mg of desloratadine | ||
+ | | | ||
+ | *<6 years: 2.5mg desloratadine | ||
+ | *6 - 12 years: 5 mg desloratadine | ||
+ | | Within 30-60 minutes | ||
+ | |- | ||
+ | | All anaphylaxis cases | ||
+ | | Glucocorticoid such as betamethasone or cortisol | ||
+ | | Oral or intravenous | ||
+ | | | ||
+ | *5mg oral betamethasone or | ||
+ | *8mg IV cortisol | ||
+ | | | ||
+ | *<6 years: 3 | ||
|} | |} | ||
==References== | ==References== | ||
{{reflist}} | {{reflist}} |
Revision as of 12:57, 22 May 2018
This page in a nutshell: |
Indication[1] | Medication[1] | Route[1] | Dosage[1] | Time to effect[1] | Repeat | |
---|---|---|---|---|---|---|
Adults | Children | |||||
|
Injection of adrenaline | Intramuscular in lateral thigh | 0.3 - 0.5 mg |
|
Less than 5 min | Every 5-10 min if needed |
Asthma | Salbutamol (Ventolin) or own bronchodilator | Inhalation |
|
|
Less than 5 min | Every 10 mins if needed |
Hypoxia | Oxygen | Mask | >5 l/min | Almost immediate | Continuous | |
Altered level of consciousness or hypotension | Volume expander such as Ringer's | IV with pressure | 20mg/kg | Fast | As needed | |
All anaphylaxis cases | Antihistamine such as desloratadine (Clarinex/Aerius) | Oral | 10mg of desloratadine |
|
Within 30-60 minutes | |
All anaphylaxis cases | Glucocorticoid such as betamethasone or cortisol | Oral or intravenous |
|
|