Question 416 · LEK · Acute kidney injury
The risk of contrast-induced nephropathy in a patient with risk factors can be reduced by:
- A. the use of a diuretic 24h before the administration of a contrast medium and for 48h after its administration to increase micturition.
- B. appropriate intravenous hydration for 3-6h before the examination and 6-12h after the examination.
- C. performing haemodialysis to remove the contrast medium.
- D. the use of nephroprotective drugs (ACE inhibtors, ARBs) 24h before the administration of a contrast medium and for 48h after its administration.
- E. the administration of a high-osmolar contrast medium.
Hint
The only measure with proven benefit is the simplest one: think what supports renal perfusion and dilutes the contrast in the tubules.
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