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Contrast CT: Renal fxn preservation

Prevention is key to function preservation, should focus on limiting risk factors which include :

  1. Creatinine greater than 1.5 mg/dL
  2. GFR < 60 ml/min
  3. Diabetic nephropathy
  4. Hypovolemia
  5. High doses of contrast media
  6. Multiple myeloma

Treatments that appear to be effective contrast nephropathy include :

  1. Periprocedural continuous hemofiltration
  2. Oral N-acetylcysteine
  3. Bicarconate infusion