• Critical care nurse · Dec 2012

    Review

    Contrast-induced nephropathy in critical care.

    • Stephen P Wood.
    • Emergency Department, Winchester Hospital, Winchester, Massachusetts, USA. swood3@bidmc.harvard.edu
    • Crit Care Nurse. 2012 Dec 1;32(6):15-23; quiz 1p following page 23.

    AbstractContrast-induced nephropathy is an iatrogenic disease caused by the administration of iodinated contrast material to certain at-risk patients. The clinical features include renal failure, with oliguria, anuria, and electrolyte derangements. Contrast-induced nephropathy can prolong hospitalization, result in greater morbidity and mortality, and increase patients' costs. A variety of preventive and treatment strategies exist, including use of alternative imaging. Critical care nurses need to understand the nephropathy and the patients at risk and to develop a familiarity with prevention, treatment, and outcome.

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