Fluid therapy in severe systemic reaction to radiopaque dye.
Two patients developed severe vascular collapse after left ventriculography with organic iodides. Hemodynamic monitoring showed marked reduction in systemic pressures. In one patient there was no response to the standard therapeutic measures in anaphylactic reactions, and prompt response to fluid administration was obtained. In the second patient response was prompt to fluids, adrenalin, and hydrocortisone.
D000707:Anaphylaxis / Q000139:chemically induced* / Q000628:therapy; D001794:Blood Pressure / Q000187:drug effects; D006328:Cardiac Catheterization / Q000009:adverse effects; D003287:Contrast Media / Q000009:adverse effects*; D004155:Diphenhydramine / Q000627:therapeutic use; D004342:Drug Hypersensitivity; D004562:Electrocardiography; D004837:Epinephrine / Q000008:administration & dosage / Q000627:therapeutic use; D006352:Heart Ventricles; D006801:Humans; D006854:Hydrocortisone / Q000008:administration & dosage / Q000627:therapeutic use; D007022:Hypotension / Q000139:chemically induced / Q000188:drug therapy; D007263:Infusions, Parenteral; D007454:Iodides / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D012640:Seizures / Q000139:chemically induced; D012965:Sodium Chloride / Q000627:therapeutic use
D003287:Contrast Media; D007454:Iodides; D012965:Sodium Chloride; D004155:Diphenhydramine; D006854:Hydrocortisone; D004837:Epinephrine