Prevention of contrast nephropathy – Radiology MCQ
Which of the following contrast agents can be used in a patient with renal dysfunction for the prevention of contrast nephropathy?
A. Low osmolar contrast
B. Ionic contrast
C. Fenoldopam
D. Acetylcysteine
Correct answer : A. Low osmolar contrast
Prevention of contrast nephropathy
- Non ionic low osmolar contrast agents are preferred in patients with decreased renal function to prevent contrast nephropathy
- Ionic contrast media have a higher risk for contrast nephropathy, and hence should be avoided
- The amount of contrast media used should be limited
- The patient should be well hydrated before the procedure
- Supplementary interventions include use of N-acetylcysteine, fenoldopam, theophylline, prostaglandins and magnesium