Description

Low osmolality contrast materials have fewer adverse reactions when used in imaging studies than do high osmolality agents, but are considerably more expensive. They can be cost effective when used in patients at high risk for adverse reaction to contrast material where the benefit outweighs the potential risk.


 

Indications for use of low osmolality contrast agents:

(1) advancing age

(2) infants

(3) diabetes mellitus

(4) hemodynamic instability

(5) inability of patient to tolerate an osmotic load

(6) marked anxiety

(7) multiple myeloma

(8) painful imaging study (such as peripheral arteriography)

(9) dehydration

(10) prior reaction to contrast material

(11) history of allergic condition, including asthma

(12) renal impairment or failure

(13) sickle cell disease

 


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