Unique Clinical Scenarios
 | 1. The patient has sickle cell disease. Can they get IV contrast? |
| 2. The patient has multiple myeloma. Can they get IV contrast material? |
| 3. If a patient has thyroid disease is iodinated contrast contraindicated? |
| 4. If a patient has thyroid cancer is iodinated contrast contraindicated? |
| 5. If a patient has myathenia gravis should iodinated contrast be used for a chest CT? |
| 6. If a patient is on glucophage (or other oral diabetes medications) is there an issue with iodinated contrast agents? What is the current rule with oral diabetes drugs? (glucophage) |
| 7. What patients take glucophage (metformin)? |
| 8. What is the danger of Metformin and iodinated contrast? |
| 9. What are the other names for metformin? |
| 10. What are the current guidelines for patients taking metformin and needing a contrast study? |
| 11. Is there any problem with using iodinated contrast for CT if a patient is on the cardiac drug Amiodarone? |
| 12. Can you use iodinated contrast on a patient with suspected or known pheochromocytoma? |
 | In the past this was always considered a high risk to the patient. However, that was in the ionic contrast days. Today in the era of non-ionic contrast this is no issue. Several select references define current policy. Pheochromocytomas and IV Contrast (True/False)
"IV administration of nonionic contrast material for CT is a safe practice for patients with pheochromocytoma and related tumors even without alpha-blocking medication." CT of Pheochromocytoma and Paraganglioma: Risk of Adverse Events with IV Administrationof Nonionic Contrast Material
Bessell-Browne R et al.
AJR 2007; 188:970-974 |
| 13. If a patient is nursing can she receive IV contrast? |
| 14. What is our policy for scanning a pregnant patient? |
| 15. If a CT is done on a pregnant patient and iodinated contrast is used can that affect the fetus? |
| 16. Who should get baseline serum creatinine levels before CT? |