· New ACR Guidelines on Group II Agents Group II Agents: “assessment of renal function is optional” ACR Manual on Contrast Media v, NOTE: FDA still recommends screening prior to all GBCAs, so this is technically “off-label” with respect to NSF risk. •Current () University of Michigan indications for premedication (intravascular ICM)*: 1. Prior allergic-like reaction to ICM 2. Ongoing asthma attack (wheezing) 3. Prior severe allergic-like reaction to 2 or more ACR Manual on Contrast Media, version 8. · Inaugural consensus statements were developed and endorsed by the American College of Radiology (ACR) and the National Kidney Foundation to improve and standardize the care of patients with kidney disease who have indication(s) to receive ACR-designated group II or group III intravenous gadolinium-based contrast media (GBCM). The risk of nephrogenic .
ACR Manual on Contrast Media - Version 8, Preface / 3 Preface This Eighth Edition of the ACR Manual on Contrast Media replaces all earlier editions. It is be-ing published as a Web-based document only so it can be updated as frequently as needed. This manual was developed by the ACR Committee on Drugs and Contrast Media of the ACR. ACR Manual on Contrast Media - Version / Page 2 of 3 Rapid Prep: • Methylprednisolone sodium succinate (e.g., Solu-Medrol): 40 mg IV, at least 5 hours prior to contrast injection (and every 4 hours thereafter prior to injection). ACR Manual on Contrast Media - Version / Preface / 3 Preface This 10 th Edition of the ACR Manual on Contrast Media replaces all earlier editions. It is being published as a Web-based document only so it can be updated as frequently as needed. This manual was developed by the ACR Committee on Drugs and Contrast Media of the ACR Commission on Quality and Safety as a guide.
ACR Manual on MR Safety based on the reorganization and updates to previously published “ACR Guidance Document on MR Safe Practices: ” Magnetic Resonance (MR) Personnel Expanded staffing guidance to align with the Veterans Health Administration Directive on MR safety, Expectation of formal safety roles. NSF – ACR Recommendations ACR Manual on Contrast Media, version 8 •eGFR <30 ml/min: –Avoid GM if possible (“black box” warning) –Avoid Group I agents –Lowest dose possible •eGFR <40 ml/min: –Avoid GBCM if possible –Avoid Group I agents –Lowest dose possible •eGFR ≥40 ml/min: No special precautions OmniScan Package Insert. ACR MANUAL ON CONTRAST MEDIA – PREFACE 1. PREFACE. This edition of the ACR Manual on Contrast Media replaces all earlier editions. It is being published as a web-based document only so it can be updated as frequently as needed. This manual was developed by the ACR Committee on Drugs and Contrast Media of the ACR Commission on.
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