• Urology · Feb 1990

    Review

    Treatment of systemic reactions to contrast media.

    • W H Bush.
    • Department of Radiology, Virginia Mason Clinic and Hospital, Seattle, Washington.
    • Urology. 1990 Feb 1;35(2):145-50.

    AbstractSerious systemic reactions caused by currently used ionic and nonionic contrast material are the anaphylactoid (allergic-like) reaction and the vagal reaction. Each likely has more than one etiology, and certain patients are at higher risk for developing such a reaction. The urologist and radiologist must be able to differentiate between the clinical manifestations of the anaphylactoid (asthma-like) reaction and the vagal (bradycardia and hypotension) reaction. Specific treatment for the anaphylactoid reaction is low-dose epinephrine; specific treatment for the vagal reaction is intravenous fluid and high-dose atropine.

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