Which of the following patients scheduled for an interventional radiology procedure requiring administration of radiocontrast dye would be considered at high risk for nephrotoxicity? Select all that apply
A)
A 14-year-old with severe abdominal pain
B)
A 25-year-old with a history of glomerular nephritis who is complaining of severe flank pain
C)
A 67-year-old diabetic undergoing diagnostic testing for new-onset proteinuria
D)
A 45-year-old with elevated liver enzymes possibly due to fatty liver cirrhosis
E)
A 53-year-old male undergoing biopsy for a suspicious "spot" on his chest x-ray
Ans:
B, C
Feedback:
Radiocontrast media-induced nephrotoxicity is thought to result from direct tubular toxicity and renal ischemia. The risk for renal damage caused by radiocontrast media is greatest in older adults and those with preexisting kidney disease, volume depletion, diabetes mellitus, and recent exposure to other nephrotoxic agents.
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