Embedded Files
intravenous contrast
intravenous contrast
Omnipaque 300
Omnipaque 300
Our primary IV contrast used
omnipaque 350
omnipaque 350
Used for the following;
CTPAs on patients with high BMI
Angiograms of arms, legs, face
dosage
dosage
1.5ml/kg
1.5ml/kg
Post contrast scans (heads, abdomens, chests)
2ml/kg
2ml/kg
Split bolus CAP
3ml/kg
3ml/kg
Angiograms
contrast phases
contrast phases
head and face
head and face
Orbits and face: 1 minute
Venogram: 45 seconds
Post contrast Brain: 2-4 minutes
chest
chest
Late arterial: 30 seconds
abdomen
abdomen
Late arterial: 35 seconds
Portal venous: 65-75 seconds (based on age)
Learning point
How can you tell the difference between these phases on the abdomen?
Arterial: Contrast enhancement in aorta, little in IVC. Mottled spleen and non-enhanced liver parenchyma. Kidneys have contrast only in the cortex
Venous: Homogenous contrast enhancement of liver and spleen. Enhancement of aorta , IVC and PV's. Kidneys have contrast in medullary stage
oral contrast
oral contrast
under 20kg
under 20kg
10mls Omnipaque 300 in 1 litre of water
10ml/kg of solution
Drink over 1 hour
Scan immediately once finished
over 20kg
over 20kg
20mls Omnipaque 300 in 1 litre of water
10ml/kg of solution
Drink over 1 hour
Scan immediately once finished
under ga
under ga
Same solution ratio as per under/over 20kg
Drink over 30 minutes
Fast for 1 hour
GA immediately after
*Need minimum 1.5 hours notice for a GA with oral contrast
complications
complications
Extravasation clinical guideline
Extravasation clinical guideline
allergy and anaphylaxsis clinical guideline
allergy and anaphylaxsis clinical guideline
Thyrotoxcosis
Thyrotoxcosis
acute renal injury
acute renal injury
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