The RANZCR (2016) recommend the time elapsed between renal function testing and CM administration should be governed by clinical judgment.
Universal use of periprocedural hydration is not recommended in patients with an eGFR greater than 30, however it may be considered for patients with CKD 3B if their renal function is acutely deteriorating (RANZCR, 2016).
The larger the number of screening questions and criteria, the greater the number of patients who will have renal function testing unnecessarily, placing burden on patients and adding to healthcare costs (RANZCR, 2016).
The RANZCR (2016) recommend that the time elapsed between renal function testing and CM administration should be governed by clinical judgment.
Following the guidelines set by RANZCR (2016) on contrast extravasations, the Hawkes Bay District Health Board (HBDHB) radiology department developed its own audit tool.
Elevating the limb to reduce oedema and promote reabsorption of the extravasated fluid is useful and recommended by the RANZCR (2016).
Following a contrast extravasation episode the RANZCR (2016) advises informing a radiologist and careful observation to exclude compartment syndrome development.