Ali Hasanpour Dehkordi
1 
, Sam Mirfendereski
2* , Abdolmajid Taheri
3 1 Social Determinants of Health, Research Center, School of Allied Medical Sciences, Shahrekord University of Medical Sciences, Shahrekord, Iran
2 Department of Radiology, Isfahan University of Medical Sciences, Isfahan, Iran
3 Department of Radiology, Shahrekord University of Medical Sciences, Shahrekord, Iran
Abstract
Contrast medium is used daily for accurate and effective diagnostic procedures. They are often necessary to provide an exact diagnosis and are almost safe and effective when used correctly. However contrast media can sometimes be life-threatening especially in elderly, since the elderly suffer from several problems. Aging is frequently accompanied by chronic diseases like chronic renal failure, comorbidity, frailty and disability. Therefore, it is important to know how reactions to contrast agents manifest and how to manage them immediately. Decreased kidney functions are sometimes seen after intravenous contrast media injection therefore radiologists should monitor all stages of the contrast injection. Accordingly, the medical team should have information on the complications, prevention and care of the patients under contrast media.
Implication for health policy/practice/research/medical education:
Patients, especially the elderly who are referred for contrast procedure, should be evaluated by a medical team prior to the procedure. Use of low- or iso osmolar contrast and avoidance of nephrotoxic agents such as nonsteroidal anti-inflammatory drug is suggested. Metformin should be discontinued before and 48 hours after contrast injection.
Please cite this paper as: Hasanpour Dehkordi A, Mirfendereski S, Taheri A. Contrast-associated acute kidney injury in elderly; a mini-review on nursing prospectives. J Renal Inj Prev. 2021; 10(1): e01. doi: 10.34172/jrip.2021.01.