Contrast medium reaction

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This page in a nutshell:
  • Adrenaline, 0.3-0.5mg in adults, given intramuscularly, is the most important initial therapy.[1]
  • Peripheral venous catheter and IV fluids are needed for everyone with anaphylaxis.[1]
  • Oxygen saturation, pulse and blood pressure are monitored.[1]


Indication[1] Medication[1] Route[1] Dosage[1] Effect[1]
Adults Children
  • Severe hives
  • Labored breathing
  • Hypotension
  • Altered level of consciousness
  • Severe abdominal pains and vomiting
Injection of adrenaline Intramuscular in lateral thigh 0.3 - 0.5 mg
  • 0.01 mg/kg, up to 0.5 mg
    • 10-20kg: 0.15 mg
    • ≥20kg: 0.3 mg
Less than 5 min
  • Repeat every 5-10 min if needed

References