RISK, Sequences

High-Risk Groups

Pediatric patients, Geriatric patients, Diabetic Patients, Patients with Cardiac impairment, Patients with renal impairment, Asthmatic patients, Patients with history of CM reactions, Patients with wide history of allergies

Factors Altering Contrast Type and Volume

Age (contrast agents on children and the elderly can be hazardous), Weight, Medications, Impaired renal or liver function, Laboratory results (high Creatinine, high BUN), Perforated bowel

Priority Patients for Diagnostic Imaging

Fasting patients, Emergency patients, Pediatric and geriatric NPO patients, Diabetics delaying insulin due to NPO requirements

Prophylaxis for CM Reactions

Test dose for 10 mins before full dose (10 cc of saline with CM, observe for mild reaction), Pretreatment with steroids, Pretreatment with antihistamine, Use of LOCM instead of HOCM, Reducing anxiety by reassuring the patient