Prevention-Contrast-induced acute kidney injury

consider if

• eGFR <60 (espec. w/ proteinuria)
• DM
• MI
• HoTN (CJASN 2013;8:1618)

Prevention

• Isotonic IV fluids: may be helpful if high risk (Lancet 2017;389:1312)
• Outpatients: 3 mL/kg/h × 1 h prior, 1–1.5 mL/kg/h × 6 h after (JAMA 2004;291:2328)
• Inpatients: 1 mL/kg/h × 6–12 h pre, intra, post-procedure (Lancet 2014;383:1814)
• Hold ACEI/ARB (AJKD 2012;60:576), NSAIDs, diuretics. Min. contrast & use iso-osmolar.