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Cross-Sectional Imaging

FAQ

Mucomyst Protocol (Acrobat pdf)

Prophylaxis for Prior Contrast Reactions (Acrobat pdf)
Management of Contrast Medium Infiltrations (Acrobat pdf) Management of Acute Reactions (Acrobat pdf)
Adult Body CT: IV Contrast Doses, Renal Insufficiency and Hydration Status (Acrobat pdf)

Adult Body CT Protocol Summaries (Abdomen, Chest and Pelvis)(Acrobat pdf)
Trauma Ultrasound Evaluations
(Acrobat pdf)		 Administration of Contrast Medium to Breastfeeding Mothers (Acrobat pdf)
CT Guidelines (Acrobat pdf)
Adult Body: Dictation Guidelines (Acrobat pdf) Ultrasound On-Call Policy of May 14, 2003 (MS Word)
Same Day IV Contrast CT Memo (Acrobat pdf) Contrast Dose for Chest CT to Assess for PE or Dissection (MS Word)
Gadolinum Alert (February 15, 2007) (MS Word) Gadolinium Guidelines (Acrobat pdf)

Q: Do I always need premedication before contrast if there is renal insufficiency?
A: Premedication (mucomyst, theophylline and/or sodium bicarbonate) before IV contrast in CT when there is renal insufficiency is not mandatory in all circumstances. For elective or semielective exams it seems prudent, but for emergent situations when contrast is needed you can and should proceed with the exam assuming it is the optimal exam for a given circumstance. Concurrent hydration and dose reduction as feasible is always a good idea, mucomyst and/or sodium bicarbonate with continued hydration can follow the emergent scans.

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