Posted: May 7th, 2015
Medical Imaging Practice 4
Paper, Order, or Assignment Requirements
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Q1: A 70 year old patient with chronic renal failure has been scheduled for a coronary angiography examination. Discuss the possible adverse reactions to the iodinated contrast media that the patient may encounter and how they can be prevented.
Essay structure in details:
- Introduction:200 WORDS
- Renal failure (General statement about the renal failure + Definition)
- What is the coronary angiography (what is the purpose of it)
- Contrast media (what is the purpose of it)
- Body1:350 WORDS
- Chronic renal failure (what– How– why)
- Body 2:300 WORDS
- Coronary angiography (what– How– why)
- Body3:350 WORDS
- Iodinated Contrast Media (what is it – types )
- The most important factors in contrast media:
- Osmolality
- Ionic or non-ionic
- Strength
- Viscosity
- Chemotoxicity
- Body 4: 300 WORDS
- Discuss the possible adverse reactions to the iodinated contrast media that the patient may encounter
- Minor: Flushing-Nausea-Vomiting-Mild rash-Arm pain.
- Moderate: More severe-urticaria Facial oedema-Hypotension-Bronchospasm
- Severe: Hypotensive shock-Laryngeal oedema-Convulsions-Respiratory and cardiac arrest
- Body 5:300 WORDS
- prevention methods of the adverse reactions:
- Compared with HOCM, LOCM result in less nephrotoxicity but still can cause nephropathy.
- The radiologist or cardiologist should use the smallest volume of contrast needed to obtain the imaging
- Nonsteroidal anti‐inflammatory drugs should be discontinued before contrast exposure.
- Conclusion:200 WORDS
- Summarise the key points
- Recommendation (another imaging modality which is nuclear medicine) and (another contrast medium)