General Principles for Managing Contrast Reactions

AAssessment (severity and category of reaction): blood pressure and pulse monitoring, ECG monitor for evaluation of cardiac rhythm
Assistance (call for it)
Airway, oxygen
Access (venous)—secure/improve intravenous lines
BBreathing (begin cardiopulmonary resuscitation if necessary, bag-valve mask or mouth mask)
Beware of paradoxical responses (e.g., β-blockers may prevent tachycardia response)
CCategorize reaction and patient status
Circulatory assistance, intravenous fluids
Call cardiopulmonary arrest response team if necessary
Cardiac output assessment, decreased venous return
DDrugs: dose and route, do not delay
Do monitor, assess, and reassure patients
  • ECG = electrocardiogram.