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It addresses patient selection and preparation before contrast administration, fasting for intravascular iodinated agents, safe injection practices, and management of extravasation and allergic-like or physiologic reactions. It also covers contrast warming, post-contrast acute kidney injury and contrast-induced nephropathy, medication considerations such as metformin, pediatric use, and specialized topics including gadolinium guidance, NSF, ultrasound contrast, and contrast reaction treatment. 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It emphasizes patient screening, recognition of adverse reactions, and emergency treatment strategies.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Which topics are covered before and during contrast administration?",{"text":118,"@type":114},"The manual covers patient selection and preparation strategies, fasting prior to intravascular contrast administration, and safe injection practices. It also includes guidance for managing extravasation.",{"name":120,"@type":111,"acceptedAnswer":121},"How does the manual address major adverse outcomes and special populations?",{"text":122,"@type":114},"It addresses allergic-like and physiologic reactions, post-contrast acute kidney injury and contrast-induced nephropathy, metformin considerations, pediatric contrast use, and gadolinium-related topics such as NSF. It also includes administration guidance for pregnant or potentially pregnant and breastfeeding patients.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},402572,1790816478,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146,"preview_page_count":4},1099529839121,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","ACR Manual on Contrast  \nMedia  \n2024  \nACR Committee on Drugs and Contrast Media  \n© Copyright 2024 American College of Radiology  \n1. Preface 1  \n2. Version History  2  \n3. Introduction 4  \n4. Patient Selection and Preparation Strategies Before Contrast Medium Administration 5  \n5. Fasting Prior to Intravascular Contrast Media Administration 14  \n6. Safe Injection of Contrast Media  15  \n7. Extravasation of Contrast Media – 2022 Evidence Based Update 19  \n8. Allergic-Like And Physiologic Reactions to Intravascular Iodinated Contrast Media 29  \n9. Contrast Media Warming 36  \n10. Post-Contrast Acute Kidney Injury and Contrast-Induced Nephropathy in Adults  40  \n11. Metformin 51  \n12. Contrast Media in Children  54  \n• Ferumoxytol as MRI Contrast Medium (New 2024 addition) 64  \n13. Gastrointestinal (GI) Contrast Media in Adults: Indications and Guidelines – 2024 Update 69  \n14. ACR–ASNR Position Statement on the Use of Gadolinium Contrast Agents  79  \n15. Adverse Reactions to Gadolinium-Based Contrast Media 80  \n• Gadolinium Pregnancy Screening Statement (2023 addition) 83  \n16. Nephrogenic Systemic Fibrosis (NSF)  84  \n• ACR Manual Classification of Gadolinium-Based Agents Relative to Nephrogenic Systemic Fibrosis 89  \n17. Ultrasound Contrast Media  92  \n18. Treatment of Contrast Reactions 95  \n19. Administration of Contrast Media to Pregnant or Potentially Pregnant Patients 97  \n20. Administration of Contrast Media to Women Who are Breast-Feeding – 2024 Evidenced Based Update 101  \nTable 1 – Categories of Acute Reactions 104  \nTable 2 – Treatment Of Acute Reactions to Contrast Media In Children 106  \nTable 3 – Management Of Acute Reactions to Contrast Media In Adults 113  \nTable 4 – Equipment For Contrast Reaction Kits in Radiology 121  \nAppendix A – Contrast Media Specifications 123  \nPREFACE  \nThis edition of the ACR Manual on Contrast Media replaces all earlier editions. It is being published as a web-based document only so it can be updated as frequently as needed.  \nThis manual was developed by the ACR Committee on Drugs and Contrast Media of the ACR Commission on Quality and Safety as a guide for radiologists to enhance the safe and effective use of contrast media. The Committee offers this document to practicing radiologists as a consensus of scientific evidence and clinical experience concerning the use of contrast media. Suggestions for patient screening, premedication, recognition of adverse reactions, and emergency treatment of such reactions are emphasized. Its major purpose is to provide useful information regarding contrast media used in daily practice.  \nThe editorial staff sincerely thanks all who have contributed their knowledge and valuable time to this publication.  \nMembers of the ACR Committee on Drugs and Contrast Media are:  \nCarolyn Wang, MD, Chair Daniella Asch, MD  \nMustafa Shadi Rifaat Bashir, MD Michael James Callahan, MD Jonathan Dillman, MD, MSc James Ellis, MD, FACR Monica Forbes-Amrhein, MD Leah Gilligan, MD  \nRobert J. McDonald, MD Jennifer McDonald, PhD Benjamin Mervak, MD Jeffrey Newhouse, MD, FACR Jay Pahade, MD  \nJennifer G. Schopp, MD Prasad R. Shankar, MD Kerry L. Thomas, MD  \nPranay Krishnan, MD  \nFinally, the committee wishes to recognize the efforts of supporting members of the ACR staff.  \nThe manual is copyright protected and the property of the American College of Radiology. Any reproduction or attempt to sell this manual is strictly prohibited absent the express permission of the American College of Radiology.  \nVERSION HISTORY  \n2024  \nVersion 2024 of the ACR Manual on Contrast Media was published in July 2024 as a web-based product. Content changes may take place as a result of changes in technology, clinical treatment, or other evidence-based decisions from the contrast committee.  \nThe following changes have been made:  \n\n| Last Updated | Chapter | Change |\n| --- | --- | --- |\n| 2010 | Introduction | Updated |\n| 2013 | Chapter 7 – Allergic-like and Physiologic Reactions to Int","cbCail4xh3y0tl9R","https://ap.wps.com/l/cbCail4xh3y0tl9R","pdf",1515818,120,"English","# Preface\n# Version History\n# Introduction\n# Patient Selection and Preparation Strategies Before Contrast Medium Administration\n# Fasting Prior to Intravascular Contrast Media Administration\n# Safe Injection of Contrast Media\n# Extravasation of Contrast Media – 2022 Evidence Based Update\n# Allergic-Like And Physiologic Reactions to Intravascular Iodinated Contrast Media\n# Contrast Media Warming\n# Post-Contrast Acute Kidney Injury and Contrast-Induced Nephropathy in Adults","[{\"question\":\"What does the ACR Manual on Contrast Media (2024) focus on?\",\"answer\":\"It focuses on enhancing the safe and effective use of contrast media in daily radiology practice. It emphasizes patient screening, recognition of adverse reactions, and emergency treatment strategies.\"},{\"question\":\"Which topics are covered before and during contrast administration?\",\"answer\":\"The manual covers patient selection and preparation strategies, fasting prior to intravascular contrast administration, and safe injection practices. It also includes guidance for managing extravasation.\"},{\"question\":\"How does the manual address major adverse outcomes and special populations?\",\"answer\":\"It addresses allergic-like and physiologic reactions, post-contrast acute kidney injury and contrast-induced nephropathy, metformin considerations, pediatric contrast use, and gadolinium-related topics such as NSF. It also includes administration guidance for pregnant or potentially pregnant and breastfeeding patients.\"}]","ACR Manual on Contrast Media - 2024 - Clinical guidance for safe use | PDF",1790531851,302]