McKenna's Drug Handbook for Nursing & Midwifery, 7e

1310      Miscellaneous drug categories

Respiratory: asthma, apnoea , broncho­ spasm , cough, dyspnoea, laryngeal oedema, laryngospasm ,nasalcongestion,pulmonary oedema, sneezing, wheezing. Skin: angioneurotic oedema , ecchymosis, facial oedema, flushing, pruritus, rash, tissue necrosis, urticaria. Other: extravasation, hyperthermia, pain, peripheral oedema. Interactions None reported. Contraindications Contraindicated in individuals with known hypersensitivity to the preparation or a history of serious hypersensitivity to ioversol or iodine-containing contrast media, and in those with thyrotoxicosis, anuria or decompensated cardiac insufficiency. care considerations • Closelymonitor individualfordevelopment of anaphylactic reaction. Ensure emergency management equipment is available and in correct working order. • Monitor vital signs and renal function closely following procedure. • Ensure the person is well-hydrated before and after the procedure to avoid contrast- • Ensure safety if the person is light-headed. • Thyroid function tests may be reduced for up to several weeks. Patient teaching • Advisepersontoreportanyadverseeffects. • Advise person to take care when standing up or getting out of bed due to potential dizziness. induced nephropathy. • Assess mental status.

meglumine iothalamate Conray 280 Pregnancy risk category NR Use in sport: Permitted Available forms Solution for injection: 60% in 20 mL, 50 mL Indications & dosages ➤ Radiological examination for urology, femo- ral and other arteries, cerebral angiography, abdominal,thoracicandintravenousaortogra- phy, splenography, and examination of portal veinandvenacava— Adults: Individualised according to indi­ vidual factors, and nature of imaging. Action Diagnostic radio-opaque contrast medium. Route Onset Peak Duration IV Immed Unknown Unknown Adverse reactions CNS: coma , convulsions , headache, loss of consciousness , paraesthesia, spasm, syn­ cope, trembling. CV: arrhythmias , cardiac arrest , coronary insufficiency , fibrillation , flushing, hypo- tensive shock , thrombosis , thrombophle­ bitis, vasodilation, venospasm. Eye: conjunctival symptoms. GI: dry mouth. GU: nephropathy, temporary renal shut- down . Respiratory: apnoea , bronchospasm , choking , chest tightness, coughing, dys- pnoea , laryngospasm , nasal stuffiness, pulmonary oedema, sneezing, wheezing. Skin: angioneurotic oedema , cyanosis , erythema, haematoma, pruritus, rash, sweating, urticaria. Other: anaphylaxis , fever, hypersensitivity reaction, local pain, oedema. Interactions None reported.

Reactions may be common , uncommon, life-threatening , or commonandlife-threatening.