Table 6.

Prevention of Contrast Nephropathy

Identify risk	• eGFR < 30 mL/min/1.73m2 • eGFR 30 - 60 mL/min/1.73m2 and risk factors (Table 5)
Manage risk	• Hydration - IV 1.4% sodium bicarbonate / 0.9% saline at 3 mL/kg/hr 1hr pre and 1 mL/kg/hr for 6hrs post procedure • Omit potentially nephrotoxic medications (ACEi/ARBs / NSAIDs / metformin on day of procedure and do not restart until renal function stable at 48 - 72 hrs • Use low osmolar agents in the lowest dose. • Recheck renal function 48 - 72 hrs following the procedure