*This information should only serve as a guide, and is not intended to supersede individual departmental policy.
ADULTS
Diphenhydramine – 50 mg PO, IM, or IV
Epipen® – Delivers 0.3 mg Epinephrine IM
Repeat every 5 min up to 3 doses PRN
Epinephrine IM – 1 mg/mL (1:1,000 solution): 0.3 mL
Repeat every 5 min up to 3 doses PRN
Epinephrine IV – 0.1 mg/mL (1:10,000 solution): 1 mL slowly (2-5 min)
Repeat to total of 10 mL PRN
Atropine – 0.6 – 1.0 mg slowly.
Can be repeated up to 0.04 mg/kg (2-3 mg in most adults)
Beta-agonist Inhaler – 2 puffs (180 mcg)
Can be repeated up to 3 times
Management of Contrast Extravasation
- Evaluate for neurovascular compromise. If present, consult plastic surgery
- Elevate the affected body part
- Apply cold compress for 20 min TID/QID
- Instruct patient to return to hospital if they develop skin ulceration, blistering, altered sensation, increased swelling/pain
PEDIATRICS
*Use of this information implies acceptance of the Terms of Use*
References
- ACR Committee on Drugs and Contrast Media. (2018). ACR Manual on Contrast Media. Version 10.3.
- Coley B. (2018). Caffey’s Pediatric Diagnostic Imaging: 13th Edition.
- https://reference.medscape.com
- Dillman J, Trout A, Davenport M. Allergic-like Contrast Media Reaction Management in Children. Pediatric Radiology. 21 September 2018
