MEDRADSC 3C03 Lecture Notes - Lecture 6: Anaphylaxis, Kidney Failure, Metformin

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Interventional imaging: every ir exam will have a present protocol for patient preparation but some things are constant, pre-procedure patient evaluation, signed informed consent, pre-procedural pause, ensure everything is checked off before beginning, post procedural monitoring. Evaluation- screening tests: clotting studies, ppt, intrinsic, pt, extrinsic, stimulated by trauma or something, inr: used to eliminate some of the variables, compare to normalized. Pt: renal function: bun, creatinine, egfr, gfr: how much blood is filtered by kidneys per minute, ecg: electrocardiogram, indicated with patient with history of heart disease. When should you review renal function: patient has a history of renal disease, patient has disease that is likely to impaired renal function, patient is diabetic and has not had a recent evaluation of kidneys. If patient has heart failure: take into consideration if on diuretics. If patient is receiving nephrotoxic drugs: contrast enhanced study will increase load on kidneys.

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