Risk Of Adverse Reaction To Iodized Contrast Media

Introduction to Nursing Diagnosis: Risk Of Adverse Reaction To Iodized Contrast Media

Nursing Diagnosis: Risk of Adverse Reaction to Iodized Contrast Media is an evidence-based diagnosis. It is part of the NANDA International’s Taxonomy II and related to the risk of adverse reactions to iodized contrast media used in radiology examinations. This nursing diagnosis can be used for a variety of situations and circumstances as it can apply to any patient who may have a risk of a possible adverse reaction to iodized contrast media.

Nursing Diagnosis Definition

Nursing Diagnosis: Risk of Adverse Reaction to Iodized Contrast Media (RARCM) is defined as “the state in which individuals have a risk of developing an adverse reaction to iodized contrast media used during a radiological examination”.

Defining Characteristics

Subjectives

• Nausea
• Vomiting
• Shortness of breath
• Anxiety
• Feeling of impending doom

Objectives

• Tachycardia
• Labored breathing
• Bronchospasm
• Presence of hives
• Tachypnea
• Sensation of flushing or burning in chest

Related Factors

The following factors can be considered additional causes of the Risk of Adverse Reaction to Iodized Contrast Media:

• Prematurity
• Hypovolemia
• Cardiovascular disease
• Renal Insufficiency
• Allergies to iodine-containing medications or contrast media
• History of reaction to contrast media

Risk Population

Patients most at risk are those with established cardiovascular, renal, or allergic risks. However, even patients without such underlying conditions can be at risk for an adverse reaction.

Associated Problems

An adverse reaction to iodized contrast media can manifest itself with severe manifestations from mild skin reactions to life-threatening reactions, including death.

Suggestions for Use

It is important for healthcare professionals to assess the patient for risk of an adverse reaction prior to the administration of iodized contrast media. Pre-treatment with drugs, including antihistamines, H2-blockers or corticosteroids, depending on the type of risk identified, should be considered.

Suggested Alternative Nursing Diagnosis

In addition to the Nursing Diagnosis: Risk of Adverse Reaction to Iodized Contrast Media, the following NANDA nursing diagnoses may be applicable:

• Ineffective Coping
• Imbalanced Nutrition: Less than Body Requirements
• Anxiety
• Risk for Injury

Usage Tips

It is important to consider all risk factors when determining the Nursing Diagnosis: Risk of Adverse Reaction to Iodized Contrast Media.

NOC Results

When nursing care focuses on addressing the risk of adverse reaction to iodized contrast media, the following NOC outcomes may result:

• Health Perception/Health Management
• Coping
• Comfort Level
• Safety Awareness
• Skin Integrity

NIC Interventions

The following NIC interventions can be conducted to reduce the risk of an adverse reaction to iodized contrast media:

• Care Plan Development: Establish patient goals and interventions to meet the desired outcomes
• Risk Assessment: Identify health risks and strategies to reduce them
• Patient Teaching: Outline information regarding the iodized contrast media, protocols, and precautions
• Drug Therapy: Manage drug therapy as appropriate for pre-contrast treatment
• Documentation: Document patient history, assessment and care plan

Conclusion

Nursing Diagnosis: Risk of Adverse Reaction to Iodized Contrast Media is an evidence-based diagnosis that can help healthcare professionals identify and manage the risk of an adverse reaction to iodized contrast media. It is important to assess risk factors and consider necessary interventions to minimize the risk of an adverse reaction.

FAQ

• What is the Nursing Diagnosis: Risk of Adverse Reaction to Iodized Contrast Media?
• The Nursing Diagnosis: Risk of Adverse Reaction to Iodized Contrast Media is an evidence-based diagnosis related to the risk of an adverse reaction to iodized contrast media used in radiology examinations.
• What are some associated problems of the Nursing Diagnosis: Risk of Adverse Reaction to Iodized Contrast Media?
• An adverse reaction to iodized contrast media can manifest itself with severe manifestations from mild skin reactions to life-threatening reactions, including death.