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Premedication


ORAL PREMEDICATION FOR CONTRAST REACTION

50 mg PO Prednisone 13 h, 7 h, and 1 h prior
50 mg Diphenhydramine - IV, IM, or PO 1 h prior





INTRAVENOUS PREMEDICATION

200 mg of hydrocortisone IV 13 hours, 7 hours, and 1 hour prior 50 mg Diphenhydramine (Benadryl®) - optional IV, IM, or PO 1 hour prior

EMERGENCY PREMEDICATION

40 mg IV Methylprenisolone sodium succinate (Solu-Medrol) OR 200 mg IV Hydrocortisone sodium succinate (Solu-Cortef) q4hours until study
50 mg Diphenhydramine (Benadryl®) IV 1 hour prior to contrast injection


ALTERNATIVE ORAL REGIMENS

32 mg PO Methylprednisolone 12 h and 2 h prior 
50 mg Diphenhydramine (Benadryl®) IV, IM, or PO 1 h prior
If allergic to methylprednisolone, aspirin, or NSAID give: 7.5 mg IV Decadron OR 6.0 mg IV Betamethasone q4hours until study.

NOTE
Steroid must be given 4 -6 hours pre contrast to be effective

Pre-medication may help reduce, but does not eliminate, the risk of a serious contrast reaction in a patient considered to be at elevated risk. It mostly reduces chance of minor risks.

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RadRez Administrator,
Nov 12, 2015, 2:16 PM
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RadRez Administrator,
Nov 12, 2015, 2:16 PM
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RadRez Administrator,
Jun 15, 2018, 8:41 PM