Subject(s)
Angioedema/chemically induced , Contrast Media/adverse effects , Duodenal Diseases/chemically induced , Iodine Compounds/adverse effects , Adolescent , Contrast Media/administration & dosage , Duodenal Diseases/diagnostic imaging , Female , Humans , Injections, Intravenous , Iodine Compounds/administration & dosage , Tomography, X-Ray Computed/methodsABSTRACT
OBJECTIVES: To validate the content of the nursing diagnosis, Risk for adverse reaction to iodinated contrast media, and its nursing interventions and outcomes according to standardized terminologies. METHOD: Fehring's (1987) model of diagnosis content validation was used, with the participation of experts including registered nurses and physicians. RESULTS: Seventy-four experts validated the title and the definition of the diagnosis, and assessed 28 risk factors, five of which were validated as primary, 22 as secondary, and one was discarded. The inclusion of the diagnosis in the NANDA International Taxonomy II was evaluated by 41 registered nurses and validated for Area II - Safety/ Protection and Class 2 - Physical Injury. Sixty-three experts validated seven nursing interventions as primary and one as secondary, and seven nursing outcomes as principal and one as minor. CONCLUSION: The title, definition, and risk factors of the diagnosis were validated, in addition to eight interventions and eight nursing outcomes.
Subject(s)
Contrast Media/adverse effects , Iodine Compounds/adverse effects , Nursing Diagnosis , Humans , Risk Assessment , Risk FactorsABSTRACT
RESUMO Objetivos Realizar a validação de conteúdo do diagnóstico de enfermagem Risco de reação adversa ao contraste iodado, bem como de suas intervenções e resultados de enfermagem segundo terminologias padronizadas. Métodos Foi utilizado o modelo de validação de conteúdo de Fehring, com a participação de peritos enfermeiros e médicos. Resultados Setenta e quatro peritos validaram o título, a definição do diagnóstico e avaliaram 28 fatores de risco, sendo cinco validados como principais, 22 como secundários e um descartado. A inserção do diagnóstico na taxonomia II da NANDA International foi avaliada por 41 enfermeiros e validada no Domínio 11 - Segurança/proteção e Classe 2 - Lesão física. Sessenta e três peritos validaram sete intervenções de enfermagem como principais e uma como secundária, sete resultados de enfermagem como principais e um como secundário. Conclusões Foram validados o título, definição e fatores de risco do diagnóstico, além de oito intervenções e oito resultados de enfermagem.
RESUMEN Objetivos Validar el contenido del diagnóstico de enfermería Riesgo. de reacción adversa a los medios de contraste yodados, así como sus intervenciones y resultados de enfermería de acuerdo con terminologías normalizadas. Método Se utilizó el método de validación de contenido de diagnóstico de Fehring, con la participación de expertos incluyendo enfermeros y médicos. Resultados Setenta y cuatro expertos validaron el título, la definición del diagnóstico y evaluaron 28 factores de riesgo. Cinco fueron validados como principales, 22 como secundarios y uno fue desechado. La inserción del diagnóstico en la taxonomía II de NANDA International fue evaluada por 41 enfermeros y validada en el Dominio 11 - Seguridad / protección y Clase 2 - Lesiones físicas. Sesenta y tres expertos validaron siete intervenciones de enfermería como principales y una como secundaria, siete resultados como principales y uno como secundario. Conclusión Se validaron el título, la definición y los factores de riesgo del diagnóstico, además de ocho intervenciones y ocho resultados de enfermería.
ABSTRACT Objectives To validate the content of the nursing diagnosis, Risk for adverse reaction to iodinated contrast media, and its nursing interventions and outcomes according to standardized terminologies. Method Fehring's (1987) model of diagnosis content validation was used, with the participation of experts including registered nurses and physicians. Results Seventy-four experts validated the title and the definition of the diagnosis, and assessed 28 risk factors, five of which were validated as primary, 22 as secondary, and one was discarded. The inclusion of the diagnosis in the NANDA International Taxonomy II was evaluated by 41 registered nurses and validated for Area II - Safety/ Protection and Class 2 - Physical Injury. Sixty-three experts validated seven nursing interventions as primary and one as secondary, and seven nursing outcomes as principal and one as minor. Conclusion The title, definition, and risk factors of the diagnosis were validated, in addition to eight interventions and eight nursing outcomes.
Subject(s)
Humans , Nursing Diagnosis , Iodine Compounds/adverse effects , Contrast Media/adverse effects , Risk Factors , Risk AssessmentABSTRACT
Acute Kidney Injury (AKI) in trauma is, in most cases, multifactorial. Factors related to the initial ressuscitation protocol, degree of the systemic inflamatory response to trauma, contrast nephropathy in diagnostic procedures, rhabdomyolysis and abdominal compartment syndrome are some of those factors. Nowadays a uniformization in diagnostic criteria for AKI has been proposed by the Acute Kidney Injury Network (AKIN) and as a result the incidence of AKI and its impact in outcomes in trauma patients also needs to be reconsider. In this review we aim to approach epidemiologic, physiologic and clinical relevant data in the critical care of patients victims of trauma and also to expose the risks of indiscriminate use of volume expanders and the interaction between renal replacement theraphy and intracranial hypertension.
Subject(s)
Acute Kidney Injury/etiology , Multiple Trauma/complications , Acute Kidney Injury/therapy , Compartment Syndromes/etiology , Compartment Syndromes/therapy , Contrast Media/adverse effects , Hemofiltration/methods , Humans , Iodine Compounds/adverse effects , Multiple Trauma/therapy , Plasma Substitutes/therapeutic use , Renal Dialysis , Rhabdomyolysis/etiology , Rhabdomyolysis/therapy , Systemic Inflammatory Response Syndrome/etiology , Systemic Inflammatory Response Syndrome/therapyABSTRACT
A Injúria Renal Aguda (IRA) no contexto do paciente politraumatizado ocorre, na maioria das vezes, por uma conjuntura de fatores que passam por eventos correlacionados à ressuscitação volêmica inicial, ao grau de resposta inflamatória sistêmica associada ao trauma, ao uso de contraste iodado para procedimentos diagnósticos, à rabdomiólise e à síndrome compartimental abdominal. Atualmente, passamos por uma fase de uniformização dos critérios diagnósticos da IRA com o Acute Kidney Injury Network (AKIN), sendo a referência mais aceita. Consequentemente, o estudo da IRA no politraumatismo também passa por uma fase de reformulação. Esta revisão da literatura médica visa trazer dados epidemiológicos, fisiológicos e de implicação clínica para o manuseio destes pacientes, bem como expor os riscos do uso indiscriminado de expansores volêmicos e particularidades sobre a instituição de terapia renal substitutiva em indivíduos sob risco de hipertensão intracraniana.
Acute Kidney Injury (AKI) in trauma is, in most cases, multifactorial. Factors related to the initial ressuscitation protocol, degree of the systemic inflamatory response to trauma, contrast nephropathy in diagnostic procedures, rhabdomyolysis and abdominal compartment syndrome are some of those factors. Nowadays a uniformization in diagnostic criteria for AKI has been proposed by the Acute Kidney Injury Network (AKIN) and as a result the incidence of AKI and its impact in outcomes in trauma patients also needs to be reconsider. In this review we aim to approach epidemiologic, physiologic and clinical relevant data in the critical care of patients victims of trauma and also to expose the risks of indiscriminate use of volume expanders and the interaction between renal replacement theraphy and intracranial hypertension.
Subject(s)
Humans , Acute Kidney Injury/etiology , Multiple Trauma/complications , Acute Kidney Injury/therapy , Compartment Syndromes/etiology , Compartment Syndromes/therapy , Contrast Media/adverse effects , Hemofiltration/methods , Iodine Compounds/adverse effects , Multiple Trauma/therapy , Plasma Substitutes/therapeutic use , Renal Dialysis , Rhabdomyolysis/etiology , Rhabdomyolysis/therapy , Systemic Inflammatory Response Syndrome/etiology , Systemic Inflammatory Response Syndrome/therapyABSTRACT
BACKGROUND AND OBJECTIVES: Human chorionic gonadotropin (HCG) and thyrotrophic hormone (TSH) have analogies in their structures, as well as in their receptors. The high levels of HCG seen in gestational trophoblastic diseases may induce secondary hyperthyroidism. The objective of this report was to present a case in which the administration of iodinated contrast triggered a thyrotoxic crisis. CASE REPORT: Patient with complete hydatidiform mole who was admitted to the operating room with severe vaginal bleeding after a tomographic exam with iodinated contrast. During anesthetic induction, the patient presented symptoms compatible with thyrotoxic crisis. CONCLUSIONS: The incidence of severe presentations associated with gestational trophoblastic disease tends to decrease with early diagnosis. Still, the anesthesiologist should be aware of the possibility of those patients developing thyrotoxic crisis.
Subject(s)
Contrast Media/adverse effects , Gestational Trophoblastic Disease/complications , Iodine Compounds/adverse effects , Thyroid Crisis/chemically induced , Adolescent , Female , Humans , PregnancyABSTRACT
Computed tomography is an X-ray exam that has been widely indicated and chosen for diagnostic purposes, especially during the last few decades. However, although it is highly revealing, in several cases the procedure presents risks associated with exposure to radiation and to the iodine contrast medium. Few publications are available in the nursing literature regarding these issues. Therefore, a review of literature is presented, emphasizing exposure to iodine contrast and adverse reactions that may arise from its use. In addition, actions are described that can be taken by the health care team professionals to reduce the occurrence of such adverse events or minimize their severity.
Subject(s)
Contrast Media/adverse effects , Iodine Compounds/adverse effects , Tomography, X-Ray Computed , HumansABSTRACT
A tomografia computadorizada tem sido um exame radiológico de ampla indicação e escolha para fins diagnósticos, principalmente na última década. No entanto, apesar de ser bastante elucidativo, em diversos casos, o procedimento oferece riscos associados à exposição à radiação e ao meio de contraste iodado. Sobre estas questões é escassa a disponibilidade de publicações na literatura de enfermagem. Assim, apresenta-se uma revisão bibliográfica, com ênfase na exposição ao contraste iodado e nas reações adversas que podem advir do seu uso. Além disso, são descritas as ações que os profissionais da equipe de saúde, alocados em serviços desta natureza, podem realizar para diminuir a ocorrência desses eventos adversos ou minimizar sua gravidade.
Computed tomography is an X-ray exam that has been widely indicated and chosen for diagnostic purposes, especially during the last few decades. However, although it is highly revealing, in several cases the procedure presents risks associated with exposure to radiation and to the iodine contrast medium. Few publications are available in the nursing literature regarding these issues. Therefore, a review of literature is presented, emphasizing exposure to iodine contrast and adverse reactions that may arise from its use. In addition, actions are described that can be taken by the health care team professionals to reduce the occurrence of such adverse events or minimize their severity.
La tomografía computadorizada ha sido un examen radiológico muy indicado y escogido para fines diagnósticos, principalmente en la última década. Sin embargo, a pesar de ser bastante elucidativo, en diversos casos el procedimiento ofrece riesgos que están asociados a la exposición a la radiación y al medio de contraste yodado. Sobre ello es escasa la disponibilidad de publicaciones en la literatura de enfermería. Así, se presenta una revisión bibliográfica, con énfasis en la exposición al contraste yodado y en las reacciones adversas que pueden originarse de su uso. Además, se describen las acciones que los profesionales del equipo de salud, designados para servicios de esta naturaleza, pueden realizar para disminuir que ocurren esos eventos adversos o minimizar su gravedad.
Subject(s)
Humans , Contrast Media/adverse effects , Iodine Compounds/adverse effects , Tomography, X-Ray ComputedABSTRACT
Comunicamos 6 casos de telangiectasia macularis eruptiva perstans, forma de mastocitosis cutánea de rara observación en la casuística nacional e internacional. Exponemos el hallazgo inusual de compromiso facial, con la presencia de lesiones maculosas y telangiectásicas en dos de los pacientes, así como la ausencia de dermografismo y signo de Darier en todos los casos, hechos que motivaron la presentación de este trabajo. Se efectúa una revisión de las características de la mastocitosis y de distintas clasificaciones de la misma. Se destaca el valor relativo del aumento del número de mastocitos en el estudio histológico de esta entidad (AU)
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Mastocytosis/classification , Cell Degranulation/drug effects , Mast Cells/drug effects , Mastocytosis/diagnosis , Mastocytosis/therapy , Precipitating Factors , Mast Cells/physiology , Patient Education as Topic , Telangiectasis/etiology , Meat Products/adverse effects , Iodine Compounds/adverse effects , Contrast Media/adverse effects , Zingiberales/adverse effects , Fruit/adverse effects , Drug Eruptions/pathologyABSTRACT
Comunicamos 6 casos de telangiectasia macularis eruptiva perstans, forma de mastocitosis cutánea de rara observación en la casuística nacional e internacional. Exponemos el hallazgo inusual de compromiso facial, con la presencia de lesiones maculosas y telangiectásicas en dos de los pacientes, así como la ausencia de dermografismo y signo de Darier en todos los casos, hechos que motivaron la presentación de este trabajo. Se efectúa una revisión de las características de la mastocitosis y de distintas clasificaciones de la misma. Se destaca el valor relativo del aumento del número de mastocitos en el estudio histológico de esta entidad
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Cell Degranulation , Mast Cells/drug effects , Mastocytosis/classification , Contrast Media/adverse effects , Drug Eruptions/pathology , Fruit/adverse effects , Iodine Compounds/adverse effects , Mast Cells/physiology , Mastocytosis/diagnosis , Mastocytosis/therapy , Meat Products/adverse effects , Patient Education as Topic , Precipitating Factors , Telangiectasis/etiology , Zingiberales/adverse effectsABSTRACT
Objetivo - Avaliar as decisöes tomadas por radiologistas em relaçäo à escolha do tipo de meio de contraste intravenoso (agente näo-iônico versus agente iônico convencional) e a freqüência do uso de esquemas profiláticos. Material e métodos - Um questionário, baseado em estudo publicado na literatura internacional, foi aplicado durante a 27ª Jornada Paulista de Radiologia, 1997. Foram coletados 432 questionários, sendo aproveitados para o estudo 187 (43 por cento). Resultados - A maioria dos radiologistas utiliza meio de contraste näo-iônico de forma seletiva. A profilaxia com corticosteróides e anti-histamínicos em pacientes com risco de reaçöes adversas é usada com freqüência similar, tanto nos casos de uso seletivo ou universal de meio de contraste näo-iônico. Há grande diversidade dos esquemas de pré-medicaçäo (tipo de droga usada e posologia), sendo que os anti-histamínicos, apesar de bastante usados em associaçäo com corticosteróides, säo raramente utilizados de forma isolada. Conclusäo - O meio de contraste näo-iônico é usado seletivamente pela maioria dos radiologistas que escolhem este tipo de contraste em pacientes que consideram com risco de reaçöes adversas. Os esquemas de pré-medicaçäo säo amplamente utilizados, havendo grande heterogeneidade quanto ao tipo de esquema utilizado para cada situaçäo clínica proposta
Subject(s)
Humans , Contrast Media/adverse effects , Premedication/standards , Surveys and Questionnaires , Radiography/standards , Adrenal Cortex Hormones/therapeutic use , Brazil , Cimetidine/therapeutic use , Contrast Media/administration & dosage , Contrast Media/classification , Histamine H1 Antagonists/therapeutic use , Histamine H2 Antagonists/therapeutic use , Iodine Compounds , Iodine Compounds/adverse effectsABSTRACT
Se presenta un trabajo sobre medios de contraste iodados y sus efectos adversos, poniéndose énfasis en el concepto de premedicación, tratamiento de las reacciones y consentimiento informado (AU)
Subject(s)
Humans , Contrast Media/adverse effects , Anaphylaxis/prevention & control , Informed Consent , Iodine/adverse effects , Contrast Media/classification , Premedication/standards , Radiography/standards , Homeopathic Anamnesis , Medical Records/standards , Iodine Compounds/adverse effects , Iodine Compounds/diagnosis , Anaphylaxis/drug therapy , Anaphylaxis/therapyABSTRACT
Se presenta un trabajo sobre medios de contraste iodados y sus efectos adversos, poniéndose énfasis en el concepto de premedicación, tratamiento de las reacciones y consentimiento informado
Subject(s)
Humans , Anaphylaxis , Contrast Media/adverse effects , Informed Consent , Anaphylaxis/drug therapy , Anaphylaxis/therapy , Contrast Media/classification , Homeopathic Anamnesis , Iodine Compounds , Iodine Compounds/adverse effects , Iodine/adverse effects , Premedication/standards , Radiography/standards , Medical Records/standardsABSTRACT
A study comparing two pretreatment protocols to prevent adverse reactions to iodinated radiocontrast media (IRCM) was performed in 45 adults patients. They followed inclusion and exclusion criteria. Pretreatment protocol A was within 12 hours before using the IRCM and pretreatment protocol B was for 72 hours before. A corticosteroid and two H2 receptor antagonists were given on both protocols. We managed these protocols by an aleatory way, so 22 patients received protocol A and 23 patients received protocol B. Excellent results were found in 63.6% and good results were found in 36.4% for protocol A. Excellent results were found in 78.2% and good results were found in 21.8% for protocol B. However, no statistically differences were detected for both protocols (p = 0.451).
Subject(s)
Contrast Media/adverse effects , Drug Hypersensitivity/prevention & control , Adolescent , Adult , Female , Humans , Iodine Compounds/adverse effects , Male , Middle Aged , PremedicationABSTRACT
Comunicación de un caso de Natrum Silicylicum producido por sensibilidad ante la aplicación de un complejo inyectable que provocara sordera y ruido en oído derecho, claramente curado por el medicamento simillimum al caso
Subject(s)
Humans , Female , Adult , Natrium Salicylicum/therapeutic use , Deafness/therapy , Salicylates/adverse effects , Iodine Compounds/adverse effects , Hearing Loss/etiology , Hearing Loss/therapyABSTRACT
Comunicación de un caso de Natrum Silicylicum producido por sensibilidad ante la aplicación de un complejo inyectable que provocara sordera y ruido en oído derecho, claramente curado por el medicamento simillimum al caso (AU)