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radmeds need to know meds at your fingertips skip to content radmeds need to know meds at your fingertips managing contrast reactions contrast media premedication ir msk nuc med about comments managing contrast reactions this information should only serve as a guide and is not intended to supersede individual departmental policy click here to access the acr manual on contrast media laryngeal edema bronchospasm hypotension tachycardia hives diffuse erythema hypotension bradycardia contrast extravasation adults diphenhydramine 50 mg po im or iv epipen delivers 0 3 mg epinephrine im repeat every 5 min up to 3 doses prn epinephrine im 1 mg ml 1 1 000 solution 0 3 ml repeat every 5 min up to 3 doses prn epinephrine iv 0 1 mg ml 1 10 000 solution 1 ml slowly 2 5 min repeat to total of 10 ml prn atropine 0 6 1 0 mg slowly can be repeated up to 0 04 mg kg 2 3 mg in most adults beta agonist inhaler 2 puffs 180 mcg can be repeated up to 3 times management of contrast extravasation evaluate for neurovascular compromise if present consult plastic surgery elevate the affected body part apply cold compress for 20 min tid qid instruct patient to return to hospital if they develop skin ulceration blistering altered sensation increased swelling pain pediatrics use of this information implies acceptance of the terms of use references acr committee on drugs and contrast media 2018 acr manual on contrast media version 10 3 coley b 2018 caffey s pediatric diagnostic imaging 13th edition https reference medscape com dillman j trout a davenport m allergic like contrast media reaction management in children pediatric radiology 21 september 2018 share this click to share on twitter opens in new window click to share on linkedin opens in new window click to share on facebook opens in new window click to share on reddit opens in new window follow radmeds follow jwdavis1111 2018 radmeds llc powered by wordpress theme astrid by athemes