Treatment of contrast media reactions

Emergency drugs used in X-ray department Metacloperamide.For sever vomiting and for fascilitation of barium follow through . Adrenaline.1:1000 sc or i/m injection.used in cardiac arrest Atropine.600micg in 1ml.used for treatment of vasovagal shock(hypotension with bradycardia) Chlorophenirmine.10mg in 1ml.used for sedation and vomiting

Drugs Sodium bicarbonate 200ml.used to prevent or treat acidosis Aminophyline.250mg in 10ml.for the treatment of bronchospasm Diazepam i/v 10mg.For the sedation and treatment of convulsion Hydrocortisone 100mg.In any emergency condition. Dopamine.800mg in 5ml.For treatment of hypotension with tachycardia

Drugs Frusemide. For pulmonary edema and diuresis Nalaxone.400micg in 1ml.used as antidote for morphine. Protamine sulphate.used as antidote for heparine. Dextrose5% 50ml.for I/V fluid replacement Dextrose 50%.as I/V fluid replacement Normal saline 500ml as fluid replacement.

Treatment of toxic reaction of contrast Angioneurotic edema. I/V line I/V hydrocortisone I/V antihistamine sc adrenaline Oxygen Bronchospasm I/V line Aminophyline Hydrocortisone Severe urticaria.antihistamine or sc adrenaline

Toxic reactions Hypotension. Elevation of legs No improvement and bradycardia,then give I/v fluid and atropine If no improvement and tachycardia,then give I/v fluid or dopamine infusion.