Patient Care

Contrast Issues and Policies

Intravenous Contrast Media Guidelines and Policies - for Adults based on ACR recommendations

Nonionic contrast is used for all patients

High risk groups

Previous reaction to contrast media
Renal Failure (azotemia)
Diabetes mellitus
Serious allergies and/or asthma
Significant cardiovascular disease
Metformin (Glucophage)*
Prior CM admin e.g. cardiac cath or PE study within 24-48 hours
Nephrotoxic drugs
Pheochromocytoma, mastocytosis
Sickle cell disease
Misc: Pregnancy, thyroid disease