title: Contrast-induced nephropathy in critical care.
abstract: Contrast-induced nephropathy is an iatrogenic disease caused by the administration of iodinated contrast material to certain at-risk patients. The clinical features include renal failure, with oliguria, anuria, and electrolyte derangements. Contrast-induced nephropathy can prolong hospitalization, result in greater morbidity and mortality, and increase patients' costs. A variety of preventive and treatment strategies exist, including use of alternative imaging. Critical care nurses need to understand the nephropathy and the patients at risk and to develop a familiarity with prevention, treatment, and outcome.
authors.affiliation: Emergency Department, Winchester Hospital, Winchester, Massachusetts, USA. swood3@bidmc.harvard.edu
authors.forename: Stephen P
authors.initials: SP
authors.lastname: Wood
mesh_terms: D058186:Acute Kidney Injury / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000401:mortality / Q000628:therapy*; D003287:Contrast Media / Q000009:adverse effects*; D003422:Critical Care; D004502:Education, Medical, Continuing; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007677:Kidney Function Tests; D008297:Male; D011379:Prognosis; D006435:Renal Dialysis / Q000379:methods*; D018570:Risk Assessment; D012720:Severity of Illness Index; D015996:Survival Rate; D014057:Tomography, X-Ray Computed / Q000379:methods
chemical_list: D003287:Contrast Media