Contrast Induced Nephropathy | Coronary Angiography |Medical Algorithm

Evaluation

Are you evaluating a patient who requires coronary angiography?

Yes

Is a low osmolar, nonionic contrast medium being used for the angiography?

Yes

Gender of the patient

Male

Female

Serum creatinine at presentation (before angiography)

Is isotonic normal saline being used as the hydration fluid?

Yes

Results

Please fill out required fields.

Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Value for Z

Probability of the patient developing a contrast media-associated nephropathy

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- Local Tissue Injury Associated with Extravasation of Contrast Material
Imaging Studies
- Indications for Use of Low-Osmolality Contrast Materials
Criteria For Diagnosis
- Risk Factors for Nonionic Contrast Material-Induced Venous Thrombosis

Monitoring

Response To Therapy
- Risk Factors for Nonionic Contrast Material-Induced Venous Thrombosis
- Nephrogenic Systemic Fibrosis Associated with Use of Gadolinium-Based Contrast Agents
Adverse Effects
Complication Detection
- Nephrogenic Systemic Fibrosis Associated with Use of Gadolinium-Based Contrast Agents

Specialty

Hematology Oncology
Pharmacology, clinical

Objective

risk factors
imaging studies
criteria for diagnosis

ICD-10

N14.1 - Nephropathy induced by other drugs, medicaments and biological substances
N14.4 - Toxic nephropathy, not elsewhere classified

Coronary Angiography | Risk Equation for Contrast Associated Nephropathy

Purpose: To estimate the risk of a patient developing contrast media-associated nephropathy following coronary angiography using the risk equation of Mueller et al.