Contrast medium-induced nephrotoxicity: pathophysiology and prevention.

Abstract:

:Contrast medium-induced nephrotoxicity (CMN) is a common form of iatrogenic acute renal failure. Typically, patients experience changes in serum creatinine or creatinine clearance between 1 and 5 days after exposure to a contrast medium, but they rarely require dialysis. The mechanism for CMN is not understood, but renal insufficiency, dehydration, and congestive heart failure are risk factors. The frequency of CMN with high-osmolality versus low-osmolality media is controversial. Prophylaxis can reduce CMN. Of many different strategies, hydration with normal saline before and after exposure offers the best protection with the fewest adverse effects.

journal_name

Pharmacotherapy

journal_title

Pharmacotherapy

authors

Gerlach AT,Pickworth KK

doi

10.1592/phco.20.6.540.35154

subject

Has Abstract

pub_date

2000-05-01 00:00:00

pages

540-8

issue

5

eissn

0277-0008

issn

1875-9114

journal_volume

20

pub_type

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