Iso-osmolärt kontrastmedel jämfört med låg-osmolära kontrastmedel i relation till uppkomst av kontrastmedelsinducerad nefropati: En litteraturöversikt
Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
Contrast media examinations increase every year and the risk of developing contrast- induced nephropathy (CIN) increases with age. CIN can result in that patients develop acute renal insufficiency and in turn may have to undergo dialysis treatment. CIN has come to be the third leading cause of hospital-acquired acute renal failure, which increases mortality and morbidity. The Aim of this literature review is to compare the iso-osmolar contrast media iodixanol with low-osmolar contrast media in relation to CIN. Method is a literature review based on scientific papers that compared iso-osmolar contrast media with low-osmolar contrast media. The Result shows that the iso-osmolar contrast medium iodixanol was better for the kidneys of diabetics undergoing coronary angiography, and that the amount of contrast media plays a critical role in the appearance of CIN. Furthermore, the results that have emerged are that rehydration therapy before and after contrast administration is an important method of contraception to reduce the appearance of CIN. Preventive medicine such as ascorbic acid has proven efficient against the emergence of CIN in diabetics. The Conclusion is that there is a disagreement about if the iso-osmolar contrast medium iodixanol is a better choice compared with the low-osmolar contrast media in reducing the appearance of CIN. Radiographers have therefore a key role to identify patients at risk and critical risk factors. It is therefore important that a professional radiographer is aware of how the choice of contrast media can affect the health of patients in the long-term perspective.
Place, publisher, year, edition, pages
2015. , 38 p.
Medicin, Kontrastmedelsinducerad nefropati, iso-osmolärt kontrastmedel, låg-osmolärt kontrastmedel
IdentifiersURN: urn:nbn:se:ltu:diva-42297Local ID: 053dc655-1c21-4038-aeb3-d950a5a74ab7OAI: oai:DiVA.org:ltu-42297DiVA: diva2:1015517
Subject / course
Student thesis, at least 15 credits
Diagnostic Radiology Nursing, bachelor's level
Lehto, NiklasWinsa, Sofia
Validerat; 20150119 (global_studentproject_submitter)2016-10-042016-10-04Bibliographically approved