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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

Pediatric Protocols

Emergency

Contrast reaction management for pediatric patients

Pediatric contrast reaction protocol chart
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.