Table 4.

Management plan for contrast medium induced acute adverse reaction

1. Call for resuscitation team

2. Suction airway as needed

3. Elevate patient’s legs if hypotensive

4. Oxygen by mask (6–10 l/min)

5. Intramuscular adrenaline (1:1,000), 0.5 ml (0.5 mg) in adults. Repeat as needed. In pediatric patients 0.01 mg/kg to 0.3 mg (max. dose)

6. Intravenous fluids (e.g. normal saline, lactated Ringer’s)

7. H1-blocker e.g. diphenhydramine 25–50 mg intravenously