Contrast medium reaction
Author:
[notes 1]
This page in a nutshell: |
Indication[1] | Medication[1] | Route[1] | Dosage[1] | Time to effect[1] | Repeat[1] | |
---|---|---|---|---|---|---|
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 | Usually not |
All anaphylaxis cases | Glucocorticoid such as betamethasone | Oral or IV |
|
|
2-3 hours | Usually not |
References
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