Harbor:Creatinine screening prior to IV contrast - Revision history

Rossdonaldson1: Rossdonaldson1 moved page Creatinine screening prior to IV contrast to Harbor:Creatinine screening prior to IV contrast

2023-03-22T16:34:21Z

Rossdonaldson1 moved page Creatinine screening prior to IV contrast to Harbor:Creatinine screening prior to IV contrast

← Older revision	Revision as of 16:34, 22 March 2023
(No difference)

Rossdonaldson1: Reverted edits by Rossdonaldson1 (talk) to last revision by Bchap23

2023-03-22T16:33:59Z

Reverted edits by Rossdonaldson1 (talk) to last revision by Bchap23

← Older revision		Revision as of 16:33, 22 March 2023
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	~~#REDIRECT~~[[Contrast-~~induced_nephropathy#Prevention~~[10][~~11]~~]]		* ED patients do NOT require creatinine measurement prior to IV contrast if the study is immediately necessary to prevent life-threatening decompensation or delay in emergent treatment (e.g., trauma patients, dissection r/o)
			* [https://lacounty-my.sharepoint.com/personal/jshim_dhs_lacounty_gov/_layouts/15/onedrive.aspx?FolderCTID=0x01200042EAB0B5A27C63468CDB5666D0718199&id=%2Fpersonal%2Fjshim%5Fdhs%5Flacounty%5Fgov%2FDocuments%2FMicrosoft%20Teams%20Chat%20Files%2FUse%20of%20IV%2 DHS IV Contrast Expected Practices 10-2022]
			** '''Ok to give IV contrast if GFR>30'''
			** '''No need for GFR screening if age <60 with no pertinent history''' (AKI, CKD, HD with urine output, renal transplant, Metformin use)
			** If the GFR<30, ER physician should state in the CT order “Clinical History” or document in the chart that IV contrast is necessary and authorized.
			*** Alternately, the '''CT tech may call the physician to confirm IV contrast is necessary and authorized, and CT tech should document this communication in the chart.'''
			** Screening for MRI contrast is unnecessary unless using Eovist for liver mets study (all ED Emergent studies should use Dotarem or Gadavist)


			==See Also==
			*[[Contrast-induced nephropathy]]

			==References==
			<ref>Tippins RB, Torres WE, Baumgartner BR, Baumgarten DA. Are screening serum creatinine levels necessary prior to outpatient CT examinations? Radiology. 2000 Aug;216(2):481-4.</ref><ref>ACR Manual on Contrast Media – Version 10, 2015. [http://www.acr.org/~/media/ACR/Documents/PDF/QualitySafety/Resources/Contrast%20Manual/2015_Contrast_Media.pdf PDF] Accessed 08/10/15</ref>:


			[[Category:Radiology]]
			[[Category:Renal]]

Rossdonaldson1: Changed redirect target from Contrast-induced nephropathy#Prevention to [[Contrast-induced nephropathy#Prevention[10][11]]

2023-03-22T16:30:06Z

Changed redirect target from Contrast-induced nephropathy#Prevention to [[Contrast-induced nephropathy#Prevention[10][11]]

← Older revision		Revision as of 16:30, 22 March 2023
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	#REDIRECT[[Contrast-induced_nephropathy#Prevention]]		#REDIRECT[[Contrast-induced_nephropathy#Prevention[10][11]]]

Rossdonaldson1: Redirected page to Contrast-induced nephropathy#Prevention

2023-03-22T16:29:38Z

Redirected page to Contrast-induced nephropathy#Prevention

← Older revision		Revision as of 16:29, 22 March 2023
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	* ED patients do NOT require creatinine measurement prior to IV contrast if the study is immediately necessary to prevent life-threatening decompensation or delay in emergent treatment (e.g., trauma patients, dissection r/o)		#REDIRECT[[Contrast-induced_nephropathy#Prevention]]
	* [https://lacounty-my.sharepoint.com/personal/jshim_dhs_lacounty_gov/_layouts/15/onedrive.aspx?FolderCTID=0x01200042EAB0B5A27C63468CDB5666D0718199&id=%2Fpersonal%2Fjshim%5Fdhs%5Flacounty%5Fgov%2FDocuments%2FMicrosoft%20Teams%20Chat%20Files%2FUse%20of%20IV%2 DHS IV Contrast Expected Practices 10-2022]
	** '''Ok to give IV contrast if GFR>30'''
	** '''No need for GFR screening if age <60 with no pertinent history''' (AKI, CKD, HD with urine output, renal transplant, Metformin use)
	** If the GFR<30, ER physician should state in the CT order “Clinical History” or document in the chart that IV contrast is necessary and authorized.
	*** Alternately, the '''CT tech may call the physician to confirm IV contrast is necessary and authorized, and CT tech should document this communication in the chart.'''
	** Screening for MRI contrast is unnecessary unless using Eovist for liver mets study (all ED Emergent studies should use Dotarem or Gadavist)


	~~==See Also==~~
	*[[Contrast-~~induced nephropathy]]~~

	~~==References==~~
	<ref>Tippins RB, Torres WE, Baumgartner BR, Baumgarten DA. Are screening serum creatinine levels necessary prior to outpatient CT examinations? Radiology. 2000 Aug;216(2):481-4.</ref><ref>ACR Manual on Contrast Media – Version 10, 2015. [http://www.acr.org/~/media/ACR/Documents/PDF/QualitySafety/Resources/Contrast%20Manual/2015_Contrast_Media.pdf PDF] Accessed 08/10/15</ref>:


	~~[[Category:Radiology]]~~
	~~[[Category:Renal~~]]

Bchap23 at 18:53, 20 March 2023

2023-03-20T18:53:31Z

← Older revision		Revision as of 18:53, 20 March 2023
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	* ED patients do NOT require creatinine measurement prior to IV contrast if the study is immediately necessary to prevent life-threatening decompensation or delay in emergent treatment (e.g., trauma patients, dissection r/o)		* ED patients do NOT require creatinine measurement prior to IV contrast if the study is immediately necessary to prevent life-threatening decompensation or delay in emergent treatment (e.g., trauma patients, dissection r/o)
	* [https://lacounty-my.sharepoint.com/personal/jshim_dhs_lacounty_gov/_layouts/15/onedrive.aspx?FolderCTID=0x01200042EAB0B5A27C63468CDB5666D0718199&id=%2Fpersonal%2Fjshim%5Fdhs%5Flacounty%5Fgov%2FDocuments%2FMicrosoft%20Teams%20Chat%20Files%2FUse%20of%20IV%2 DHS IV Contrast Expected Practices 10-2022]		* [https://lacounty-my.sharepoint.com/personal/jshim_dhs_lacounty_gov/_layouts/15/onedrive.aspx?FolderCTID=0x01200042EAB0B5A27C63468CDB5666D0718199&id=%2Fpersonal%2Fjshim%5Fdhs%5Flacounty%5Fgov%2FDocuments%2FMicrosoft%20Teams%20Chat%20Files%2FUse%20of%20IV%2 DHS IV Contrast Expected Practices 10-2022]
	** '''No need for GFR screening ~~with GFR>30 and~~ age <60 with no pertinent history''' (AKI, CKD, HD with urine output, renal transplant, Metformin use)		** '''Ok to give IV contrast if GFR>30'''
			** '''No need for GFR screening if age <60 with no pertinent history''' (AKI, CKD, HD with urine output, renal transplant, Metformin use)
	** If the GFR<30, ER physician should state in the CT order “Clinical History” or document in the chart that IV contrast is necessary and authorized.		** If the GFR<30, ER physician should state in the CT order “Clinical History” or document in the chart that IV contrast is necessary and authorized.
	*** Alternately, the '''CT tech may call the physician to confirm IV contrast is necessary and authorized, and CT tech should document this communication in the chart.'''		*** Alternately, the '''CT tech may call the physician to confirm IV contrast is necessary and authorized, and CT tech should document this communication in the chart.'''

Bchap23 at 18:48, 20 March 2023

2023-03-20T18:48:24Z

← Older revision		Revision as of 18:48, 20 March 2023
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			* ED patients do NOT require creatinine measurement prior to IV contrast if the study is immediately necessary to prevent life-threatening decompensation or delay in emergent treatment (e.g., trauma patients, dissection r/o)
	* [https://lacounty-my.sharepoint.com/personal/jshim_dhs_lacounty_gov/_layouts/15/onedrive.aspx?FolderCTID=0x01200042EAB0B5A27C63468CDB5666D0718199&id=%2Fpersonal%2Fjshim%5Fdhs%5Flacounty%5Fgov%2FDocuments%2FMicrosoft%20Teams%20Chat%20Files%2FUse%20of%20IV%2 DHS IV Contrast Expected Practices 10-2022]		* [https://lacounty-my.sharepoint.com/personal/jshim_dhs_lacounty_gov/_layouts/15/onedrive.aspx?FolderCTID=0x01200042EAB0B5A27C63468CDB5666D0718199&id=%2Fpersonal%2Fjshim%5Fdhs%5Flacounty%5Fgov%2FDocuments%2FMicrosoft%20Teams%20Chat%20Files%2FUse%20of%20IV%2 DHS IV Contrast Expected Practices 10-2022]
	* ED patients do NOT require creatinine measurement prior to IV contrast if the study is immediately necessary to prevent life-threatening decompensation or delay in emergent treatment (e.g., trauma patients, dissection r/o)
	** '''No need for GFR screening with GFR>30 and age <60 with no pertinent history''' (AKI, CKD, HD with urine output, renal transplant, Metformin use)		** '''No need for GFR screening with GFR>30 and age <60 with no pertinent history''' (AKI, CKD, HD with urine output, renal transplant, Metformin use)
	** If the GFR<30, ER physician should state in the CT order “Clinical History” or document in the chart that IV contrast is necessary and authorized.		** If the GFR<30, ER physician should state in the CT order “Clinical History” or document in the chart that IV contrast is necessary and authorized.
	*** Alternately, the '''CT tech may call the physician to confirm IV contrast is necessary and authorized, and CT tech should document this communication in the chart.'''		*** Alternately, the '''CT tech may call the physician to confirm IV contrast is necessary and authorized, and CT tech should document this communication in the chart.'''
	** Screening for MRI contrast is unnecessary unless using Eovist for liver mets study (all ED Emergent studies should use Dotarem or Gadavist)		** Screening for MRI contrast is unnecessary unless using Eovist for liver mets study (all ED Emergent studies should use Dotarem or Gadavist)

Bchap23 at 18:47, 20 March 2023

2023-03-20T18:47:09Z

@@ Line 1: / Line 1: @@
 * [https://lacounty-my.sharepoint.com/personal/jshim_dhs_lacounty_gov/_layouts/15/onedrive.aspx?FolderCTID=0x01200042EAB0B5A27C63468CDB5666D0718199&id=%2Fpersonal%2Fjshim%5Fdhs%5Flacounty%5Fgov%2FDocuments%2FMicrosoft%20Teams%20Chat%20Files%2FUse%20of%20IV%2 DHS IV Contrast Expected Practices 10-2022]
-** No need for screening
+* ED patients do NOT require creatinine measurement prior to IV contrast if the study is immediately necessary to prevent life-threatening decompensation or delay in emergent treatment (e.g., trauma patients, dissection r/o)
-*** GFR>30
+** '''No need for GFR screening with GFR>30 and age <60 with no pertinent history''' (AKI, CKD, HD with urine output, renal transplant, Metformin use)
 ==See Also==
@@ Line 30: / Line 12: @@
 ==References==
-<References/>
+<ref>Tippins RB, Torres WE, Baumgartner BR, Baumgarten DA. Are screening serum creatinine levels necessary prior to outpatient CT examinations? Radiology. 2000 Aug;216(2):481-4.</ref><ref>ACR Manual on Contrast Media – Version 10, 2015. [http://www.acr.org/~/media/ACR/Documents/PDF/QualitySafety/Resources/Contrast%20Manual/2015_Contrast_Media.pdf PDF] Accessed 08/10/15</ref>:
 [[Category:Radiology]]
 [[Category:Renal]]

Bchap23: /* Guideline */

2023-03-20T17:56:27Z

Guideline

← Older revision		Revision as of 17:56, 20 March 2023
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	==Guideline==		==Guideline==
			* [https://lacounty-my.sharepoint.com/personal/jshim_dhs_lacounty_gov/_layouts/15/onedrive.aspx?FolderCTID=0x01200042EAB0B5A27C63468CDB5666D0718199&id=%2Fpersonal%2Fjshim%5Fdhs%5Flacounty%5Fgov%2FDocuments%2FMicrosoft%20Teams%20Chat%20Files%2FUse%20of%20IV%2 DHS IV Contrast Expected Practices 10-2022]
			** No need for screening
			*** GFR>30


	ED patients do NOT require creatinine measurement prior to IV contrast:		ED patients do NOT require creatinine measurement prior to IV contrast:

	*If the study is immediately necessary to prevent life-threatening decompensation or delay in emergent treatment (e.g. trauma patients)		*If the study is immediately necessary to prevent life-threatening decompensation or delay in emergent treatment (e.g. trauma patients)
	*If they do not meet any of the following criteria<ref>Tippins RB, Torres WE, Baumgartner BR, Baumgarten DA. Are screening serum creatinine levels necessary prior to outpatient CT examinations? Radiology. 2000 Aug;216(2):481-4.</ref><ref>ACR Manual on Contrast Media – Version 10, 2015. [http://www.acr.org/~/media/ACR/Documents/PDF/QualitySafety/Resources/Contrast%20Manual/2015_Contrast_Media.pdf PDF] Accessed 08/10/15</ref>:		*If they do not meet any of the following criteria<ref>Tippins RB, Torres WE, Baumgartner BR, Baumgarten DA. Are screening serum creatinine levels necessary prior to outpatient CT examinations? Radiology. 2000 Aug;216(2):481-4.</ref><ref>ACR Manual on Contrast Media – Version 10, 2015. [http://www.acr.org/~/media/ACR/Documents/PDF/QualitySafety/Resources/Contrast%20Manual/2015_Contrast_Media.pdf PDF] Accessed 08/10/15</ref>:

ClaireLewis at 14:49, 14 October 2019

2019-10-14T14:49:23Z

← Older revision		Revision as of 14:49, 14 October 2019
Line 10:		Line 10:
	**Age >60		**Age >60
	**History of kidney disease		**History of kidney disease
	***Kidney transplant		***[[Kidney transplant]]
	***Dialysis		***[[Dialysis]]
	***Single kidney		***Single kidney
	***Renal cancer		***Renal cancer
	***Kidney surgery		***Kidney surgery
	**Family history of kidney failure		**Family history of kidney failure
	**Diabetes		**[[Diabetes]]
	**Hypertension		**Hypertension
	**~~collagen~~ vascular disease (e.g. SLE, scleroderma, rheumatoid arthritis)		**[[Collagen vascular disease]] (e.g. [[SLE]], [[scleroderma]], [[rheumatoid arthritis]])
	**Paraproteinemia (e.g. multiple myeloma)		**Paraproteinemia (e.g. [[multiple myeloma]])
	**Recent use of nephrotoxic medication (eg, metformin, aminoglycosides)		**Recent use of nephrotoxic medication (eg, [[metformin]], [[aminoglycosides]])

	==See Also==		==See Also==

Neil.m.young: Text replacement - "Cr " to "creatinine "

2016-08-11T08:08:45Z

Text replacement - "Cr " to "creatinine "

← Older revision		Revision as of 08:08, 11 August 2016
Line 4:		Line 4:

	==Guideline==		==Guideline==
	ED patients do NOT require Cr measurement prior to IV contrast:		ED patients do NOT require creatinine measurement prior to IV contrast:

	*If the study is immediately necessary to prevent life-threatening decompensation or delay in emergent treatment (e.g. trauma patients)		*If the study is immediately necessary to prevent life-threatening decompensation or delay in emergent treatment (e.g. trauma patients)