Titre du document / Document title

Preventie van contrastnefropathie; richtlijnen vanuit de afdeling Nefrologie van het Universitair Medisch Centrum Groningen = Prevention of contrast nephropathy; guidelines from the department Nephrology of the University Medical Centre Groningen

Auteur(s) / Author(s)

HUISMAN I. A. ; STEGEMAN C. A. ; GANS R. O. B. ; GANSEVOORT R. T. ;

Résumé / Abstract

- 'Contrastnephropathy' is commonly defined as an increase in serum creatinine concentration of more than 44 μmol/l or 25% of the reference value within 48 hours after administration of radiological contrast media. - Riskfactors are pre-existing renal dysfunction, diabetes mellitus, heart failure, paraproteinaemia, advanced age, use of nephrotoxic medication, intra-arterial use of contrast media and use of large volumes of contrast media. - The only form of therapy possible is supportive care, such as renal function replacement therapy. - Prevention of contrast nephropathy is of great importance. For patients with risk factors, the treatment of first choice is hydration with intravenous sodium chloride 0,9% combined with oral acetylcysteine given before and after the administration of contrast media.

Revue / Journal Title

Nederlands tijdschrift voor geneeskunde   ISSN 0028-2162 

Source / Source

2005, vol. 149, n^o42, pp. 2329-2333 [5 page(s) (article)]

Langue / Language

Allemand
Revue : Neerlandais

Editeur / Publisher

Bohn Stafleu Loghum, Houten, PAYS-BAS  (1857) (Revue)

Localisation / Location

INIST-CNRS, Cote INIST : 875, 35400013204731.0040