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RISK FOR ADVERSE REACTION TO IODINATED CONTRAST MEDIA Nursing Care Plan

        This diagnosis is use if the patient is experiencing unintended reaction associated with the use of iodinated contrast media that can occur within seven(7) days after contrast media injection. Iodinated contrast media is infused to the client when the client will undergo radiographic diagnostic tests. Nurses caring clients scheduled for this test must be aware if the client has a higher risk for adverse events. Reactions can be mild and self-limiting to severe and self-limiting. Nurses in radiology department are responsible for assessing high risk clients. They review renal function status of the client prior to the procedure, monitoring signs of reactions and using protocols if indicated.

        We will provide a sample of nursing care plan for this risk for adverse reaction to iodinated contrast media, which is stated below:

ASSESSMENT:
Subjective:
"I have an allergy to iodine", the patient said verbally.

Objectives
- Records of past history of allergic reactions to iodinated contrast media.

DIAGNOSIS:
Risk for adverse reaction to iodinated contrast media related to history of allergy to iodinanted contrast media.

PLANNING:
After 1 hour of nursing intervention, the patient will be able to understand the need to report and describe the delayed reactions of iodinated contrast media.

INTERVENTIONS:
- Review the client history of allergic reactions to contrast media.

- Explain the delayed reactions of contrast media, advise the client and the family that a delayed contrast reaction can occur anytime between 3 hours to 7 days following the administration of contrast. Explain that delayed reactions may be cutaneous exantherm or commonly called widespread rashes, pruritus without hives, nausea, vomiting, drowsiness, and headache.

- Advise them to report any said reactions to the physician. If difficulty of swallowing or breathing occurs, immediately go to E.R.

EVALUATION:
After 1 hour of nursing intervention, the patient understood the need to report and described the delayed reactions of iodinated contrast media.

Note: Remember this contrast media reactions:
Mild reactions:
- Scattered urticaria
- Nausea
- Diaphoresis
- Pruritus
- Brief blenching
- Coughing
- Rhinorrhea
- Vomiting
- Dizziness

Moderate reactions:
- Persistent vomiting
- Facial edema
- Palpitations
- Diffuse urticaria
- Tachycardia
- Mild bronchospasm or dyspnea
- Headache
- Hypertension
- Abdominal cramps

Severe reactions
- Life-treatening arrhythmias
- Pulmonary Edema
- Death
- Laryngeal Edema
- Seizures
- Overt brochospasm
- Syncope

Nonidiosyncratic
- Bradycardia
- Neuropathy
- Nausea and vomiting
- Hypotension
- Cardiovascular reactions
- Sensations of warmth
- Vasovagal reactions
- Extravasations
- Metalic taste in mouth

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