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Contrast Reaction Reference

Emergency protocols for contrast-related adverse reactions

Adult Protocols
Emergency
Contrast reaction management for adult patients
Adult contrast reaction protocol chart

Comprehensive adult contrast reaction management flowchart including mild, moderate, and severe reaction protocols.

Pediatric Protocols
Emergency
Contrast reaction management for pediatric patients
Pediatric contrast reaction protocol chart

Weight-based pediatric contrast reaction protocols with age-appropriate medication dosing and management strategies.

Quick Reference Guide
Essential information for immediate response

Mild Reactions

  • • Nausea, vomiting
  • • Mild urticaria
  • • Flushing
  • • Usually self-limiting
  • • Monitor and reassure

Moderate Reactions

  • • Widespread urticaria
  • • Bronchospasm
  • • Facial/laryngeal edema
  • • Require treatment
  • • Monitor vital signs

Severe Reactions

  • • Anaphylaxis
  • • Cardiovascular collapse
  • • Respiratory arrest
  • • Life-threatening
  • • Call code team
Emergency Medications
Common medications and dosing for contrast reactions

Adult Dosing

Epinephrine (1:1000)0.3-0.5 mg IM
Diphenhydramine25-50 mg IV/IM
Methylprednisolone125 mg IV
Albuterol2.5 mg nebulized

Pediatric Considerations

  • • Weight-based dosing required
  • • Epinephrine: 0.01 mg/kg IM
  • • Diphenhydramine: 1 mg/kg IV/IM
  • • Methylprednisolone: 2 mg/kg IV
  • • Maximum adult doses apply
Additional Resources

For more comprehensive on-call references and emergency protocols, visit:

rad-call.com

Important Disclaimer

This reference is for educational purposes only. Always follow your institution's specific protocols and consult with emergency medicine or anesthesiology for severe reactions. When in doubt, call for immediate assistance.