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Treatment of contrast media reactions
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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
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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
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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.
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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
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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.
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