Mild to severe reactions are possible with ICM

Medical science is one of the most complexes of all departments that exist in our life. Since ages we are studying and researching on various medical issues, on some topic we get through while for other we are still waiting for appropriated solution. Contrast media is the part of the invention of medical science, a substance that is used during radiography to enhance and improve the contrast and visibility of the internal structure and fluid within our body.

Since the inception of organic radiography in 1950s, ICM (Iodinated Contrast Media) is one of the commonest and widely prescribed drugs in the field of medical imaging. Iodinated contrast media is generally considered out of harm’s way and doesn’t have great issues related to it otherwise impact in our body, however since it belongs to the category of drugs the side effects remain an important issue to be discussed upfront.

Recognizing the side effects of contrast media

Recognizing and managing the risk or side effects associated with iodinated contrast media is necessary to decrease the illusion if any in mind for the uninterrupted use of this substance within our body. The side affect associated with this term differ from unheeded minor physiological affects to rare and severe life threatening conditions.

Most of the side effects of iodinated contrast media are delayed reaction, infrequent in nature and not very severe. However some adverse and life threatening side effects are not permanently eradicated.

  • Some patients who suffered with such reactions had experienced the ligament and muscles stiffness, dizziness, itching, rashes, fever, brain fog, swelling in hands, ankles and upper feet.
  • Few have had temporarily development spider veins on the ankles and thick skin peeling in the fingers.
  • The risk of severe reaction of high osmolality ICM is about 0.157% and in case of nonionic ICM it is around 0.031%.
  • There is a possibility of idiosyncratic reaction which may begin after 20 minutes of independent dose of Iodinated Contrast Media injection. While with the injection of 1ml of Contrast Media agent there may be occurrence of severe idiosyncratic reaction.
  • There are some indications of non-idiosyncratic reaction as well experienced by the patient in rare cases such as hypotension, bradycardia, vasovagal reaction, cardiovascular reaction, neuropathy, extravasations, a metallic taste in mouth, sensations of warmth, nausea and vomiting.

Precaution and treatment measures for the side effects of contrast media radiology

  • It is generally observed that the reaction of Iodinated Contrast Media occurs within the 20 minutes of injection. This is the reason why patients are recommended to remain under the vigilance of the physician for at least 20 minutes after they had ICM injection.
  • There should be availability of advance life support monitoring equipment and other basic amenities in the rooms where Contrast Media is being injected in patient body.
  • In the situation of adverse reaction occurrence the first recommended step of the physician is to discontinue the ICM injection and monitor the patient’s heart rate, blood pressure and oxygen saturation.