What is the appropriate management of a patient with shellfish allergy who is scheduled for administration of IV iodinated contrast?
Select Your Answer:
It was once believed that shellfish allergy was a contraindication to routine iodinated contrast administration.
This is not the case. Shellfish allergy is not due to the iodine level in shellfish.
It is prudent to use nonionic contrast in these cases, but in any case nonionic contrast has become universally routine in most institutions.
The major contraindication to iodinated IV contrast administration is history of prior reaction to iodinated IV contrast administration. Poor renal function places the patient at risk for CIN (contrast-induced nephropathy).
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