2.50
Hdl Handle:
http://hdl.handle.net/10755/156803
Type:
Presentation
Title:
Assessing Risk Score and Prophylaxis for Contrast Induced Nephropathy
Abstract:
Assessing Risk Score and Prophylaxis for Contrast Induced Nephropathy
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Walsh, Holly, RN, NP, BSN, MSNc
P.I. Institution Name:University of California Davis, Medical Center
Title:Cardiology Nurse Practitioner
Co-Authors:Nikky Chahon, RN, BSN, PHN, MSNc
[Research Presentation] Objective: The goal of this research is to provide evidenced based practice findings that will improve assessment and outcomes for patients receiving radiographic contrast for procedures. Setting, Design and Method: At University of California Davis Medical Center, nursing staff is responsible for pre-assessment of patients undergoing a radiographic procedure. Radiographic contrast must be used to perform these procedures, however, there is no standardization of peri-prophylaxis to prevent contrast-induced nephropathy (CIN). According to Persson, Hansell & Liss (2005), approximately 60 million doses of contrast are given for procedures each year. For patients with pre-existing renal insufficiency and other contributing factors, renal function deterioration after percutaneous coronary intervention is a marker for poorer outcomes. A retrospective assessment of modalities used for cardiac angiograms as a prediction of contrast-induced nephropathy was undertaken to assess current practice. Data were collected to determine the most effective means for preventing contrast-induced nephropathy in patients undergoing angiographic procedures using a tool developed by Dr. G. Dangas (2001). Laboratory values including creatinine and hematocrit were collected on one hundred seventy patients before and after procedures. Using this tool, a score was calculated for each patient to determine the risk of developing contrast-induced nephropathy post-procedure. Concept Targeted: The research design was developed to provide an evidenced-based method for nurses to identify the risk score of patientÆs under going contrast procedures. Findings: Initial findings indicate that sodium bicarbonate and mucomyst are effective in providing peri-procedure prophylaxis in high-risk patients. Conclusions: Once a risk score has been assessed a nurse can advocate for prophylaxis or staged procedures in order to provide the best possible treatment for patients undergoing contrast procedures.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAssessing Risk Score and Prophylaxis for Contrast Induced Nephropathyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156803-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Assessing Risk Score and Prophylaxis for Contrast Induced Nephropathy</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Walsh, Holly, RN, NP, BSN, MSNc</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of California Davis, Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Cardiology Nurse Practitioner</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">holly.kirkland-walsh@ucdmc.ucdavis.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Nikky Chahon, RN, BSN, PHN, MSNc</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Objective: The goal of this research is to provide evidenced based practice findings that will improve assessment and outcomes for patients receiving radiographic contrast for procedures. Setting, Design and Method: At University of California Davis Medical Center, nursing staff is responsible for pre-assessment of patients undergoing a radiographic procedure. Radiographic contrast must be used to perform these procedures, however, there is no standardization of peri-prophylaxis to prevent contrast-induced nephropathy (CIN). According to Persson, Hansell &amp; Liss (2005), approximately 60 million doses of contrast are given for procedures each year. For patients with pre-existing renal insufficiency and other contributing factors, renal function deterioration after percutaneous coronary intervention is a marker for poorer outcomes. A retrospective assessment of modalities used for cardiac angiograms as a prediction of contrast-induced nephropathy was undertaken to assess current practice. Data were collected to determine the most effective means for preventing contrast-induced nephropathy in patients undergoing angiographic procedures using a tool developed by Dr. G. Dangas (2001). Laboratory values including creatinine and hematocrit were collected on one hundred seventy patients before and after procedures. Using this tool, a score was calculated for each patient to determine the risk of developing contrast-induced nephropathy post-procedure. Concept Targeted: The research design was developed to provide an evidenced-based method for nurses to identify the risk score of patient&AElig;s under going contrast procedures. Findings: Initial findings indicate that sodium bicarbonate and mucomyst are effective in providing peri-procedure prophylaxis in high-risk patients. Conclusions: Once a risk score has been assessed a nurse can advocate for prophylaxis or staged procedures in order to provide the best possible treatment for patients undergoing contrast procedures.</td></tr></table>en_GB
dc.date.available2011-10-26T15:09:11Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T15:09:11Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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