Transcription of Section 4. CONTRAST INDUCED ACUTE KIDNEY …
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Section 4. CONTRAST INDUCED ACUTE KIDNEY …
KHA-CARI Adaptation of kdigo Clinical Practice Guideline for ACUTE KIDNEY injury (May 2014) Page 1 Section 4. CONTRAST INDUCED ACUTE KIDNEY injury Authors: Martin Gallagher, Vincent D Intini guidelines a. We recommend using either iso-osmolar or low-osmolar iodinated CONTRAST media, rather than high-osmolar iodinated CONTRAST media, in patients at increased risk of CI-AKI. (1B) Since iohexol use as an intra-arterial injection in patients with pre-existing renal impairment is associated with an increase in CI-AKI risk when compared to iodixanol, we suggest avoiding iohexol use in this high risk setting. (1B) b. We recommend IV volume expansion with isotonic saline or sodium bicarbonate, rather than no IV volume expansion, in patients at increased risk for CI-AKI.
KHA-CARI Adaptation of KDIGO Clinical Practice Guideline for Acute Kidney Injury (May 2014) Page 1 Section 4. CONTRAST INDUCED ACUTE KIDNEY INJURY
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