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  • I Agree To Have The Ct Procedure With Injection Of Iodinated Contrast ...

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Place patient label here or enter Patient name:DOB CT PRECONTRAST SCREENING FOR IV CONTRAST ADMINISTRATION Your physician or radiologist may deem it necessary for you to have an IV injection of a.

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Iodine is injected into the veins to enhance images for X-rays and CT scans. It is used to see internal organs, the gastrointestinal tract, veins, arteries, brain, breasts, skin and muscles. Each agent used enhances the doctor's ability to see the organs needed to make a diagnosis.

Moderate reactions present with faintness, prolonged vomiting and urticaria, facial and laryngeal edema, and mild bronchospasm. The hallmarks of a severe reaction include hypotensive shock, pulmonary edema, respiratory or cardiac arrest, and convulsions.

Late adverse reactions after intravascular iodinated contrast medium include symptoms such as nausea, vomiting, headache, itching, skin rash, musculoskeletal pain, and fever.

Iodine-based contrast materials injected into a vein (intravenously) are used to enhance x-ray (including fluoroscopic images) and CT images. Iodine based contrast materials are also commonly injected in the arteries during angiogram procedures.

Contrast-induced nephropathy (CIN) is a well known adverse reaction associated with the use of intravenous or intra-arterial contrast material. Other forms of adverse reactions include delayed allergic reactions, anaphylactic reactions, and cutaneous reactions.

Late adverse reactions after intravascular iodinated contrast medium include symptoms such as nausea, vomiting, headache, itching, skin rash, musculoskeletal pain, and fever.

The most important adverse effects of contrast media include hypersensitivity reactions, thyroid dysfunction, and contrast-induced nephropathy [3].

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232