{"id":5255,"date":"2023-10-09T23:35:18","date_gmt":"2023-10-09T22:35:18","guid":{"rendered":"https:\/\/www.rontgen.com\/metod\/?page_id=5255"},"modified":"2024-10-12T01:50:37","modified_gmt":"2024-10-11T23:50:37","slug":"gastrografin","status":"publish","type":"page","link":"https:\/\/www.rontgen.com\/metod\/undersokningar\/gastrografin\/","title":{"rendered":"Gastrografin"},"content":{"rendered":"<p style=\"text-align: left;\"><span style=\"color: #008080;\">Gastrografin<\/span> <span style=\"font-size: 10pt;\">(370mgJ\/ml)<\/span> \u00e4r ett starkt hyperton <span style=\"font-size: 10pt;\">(salthalt)<\/span> vattenl\u00f6sligt jodkontrastmedel som enbart ges att <span style=\"color: #008080;\">dricka<\/span> <span style=\"font-size: 10pt;\">(peroral)<\/span>, via <span style=\"color: #008080;\">ventrikelsond<\/span> <span style=\"font-size: 10pt;\">(magsond)<\/span> eller genom rektalsond <span style=\"color: #008080;\">via \u00e4ndtarmen<\/span>.<br \/>\nGastrografin <span style=\"font-size: 10pt;\">(100ml)<\/span> inneh\u00e5ller natrium <span style=\"font-size: 10pt;\">(salt)<\/span> som motsvarar ca. 19% av den h\u00f6gst rekommenderad dagliga intaget av salt.<\/p>\n<p><span style=\"font-size: 18pt;\"><strong>Anv\u00e4ndningsomr\u00e5den<\/strong><\/span><\/p>\n<p><span style=\"color: #ff0000;\">F\u00e5r ej ges som injektion till blodet!<\/span><\/p>\n<p style=\"text-align: left;\">Denna vattenl\u00f6slighet \u00e4r en f\u00f6ruts\u00e4ttning vid mag-tarmunders\u00f6kningar d\u00e4r man <span style=\"color: #008080;\">misst\u00e4nker befintliga eller hotande h\u00e5l i tarmen<\/span> <span style=\"font-size: 10pt;\">(perforation)<\/span>, <span style=\"color: #008080;\">nyopererad<\/span> i mage-tarm, <span style=\"color: #008080;\">tarmobstruktion<\/span> <span style=\"font-size: 10pt;\">(stopp)<\/span>, <span style=\"color: #008080;\">tarmvred<\/span> <span style=\"font-size: 10pt;\">(ileus)<\/span> eller annan <span style=\"color: #008080;\">patologisk passage ut i fri bukh\u00e5lan<\/span> d\u00e4r Barium <span style=\"font-size: 10pt;\">(ej vattenl\u00f6sligt)<\/span> \u00e4r uteslutet och inte f\u00e5r anv\u00e4ndas.<br \/>\nLikt andra positiva kontrastsorter framtr\u00e4der mag-tarmkanalen b\u00e4ttre med Gastrografin fr\u00e5n omgivande mjuk v\u00e4vnad eller skelett p\u00e5 r\u00f6ntgenbilder.<br \/>\nGastrografin ska inte anv\u00e4ndas outsp\u00e4dd.<\/p>\n<p><span style=\"font-size: 18pt;\"><strong>Uts\u00f6ndring<\/strong><\/span><\/p>\n<p style=\"text-align: left;\">Gastrografin som ges <span style=\"color: #008080;\">oralt eller rektalt<\/span> l\u00e4mnar kroppen med avf\u00f6ringen.<br \/>\nOm Gastrografin kommer utanf\u00f6r magtarmkanalen absorberas detta av kroppen och uts\u00f6ndras ur kroppen via urinen.<\/p>\n<p><span style=\"font-size: 18pt;\"><strong>Unders\u00f6kning<\/strong><\/span><\/p>\n<p><strong>Kontraindikationer f\u00f6r anv\u00e4ndning av Gastrografin<\/strong><\/p>\n<ul>\n<li>F\u00e5r <span style=\"color: #008080;\">ej ges outsp\u00e4dd till nyf\u00f6dda<\/span>, <span style=\"color: #008080;\">sp\u00e4dbarn<\/span> och <span style=\"color: #008080;\">barn<\/span> <span style=\"font-size: 10pt;\">(&lt;1\u00e5r)<\/span>.<\/li>\n<li><span style=\"color: #008080;\">Dehydrerade<\/span> <span style=\"font-size: 10pt;\">(uttorkad)<\/span> patient.<\/li>\n<li>Vid fall d\u00e4r Gastrografin riskerar hamna i luftv\u00e4garna<sup class=\"modern-footnotes-footnote \" data-mfn=\"1\" data-mfn-post-scope=\"000000002aa821820000000046cce6ac_5255\"><a href=\"javascript:void(0)\"  role=\"button\" aria-pressed=\"false\" aria-describedby=\"mfn-content-000000002aa821820000000046cce6ac_5255-1\">1<\/a><\/sup><span id=\"mfn-content-000000002aa821820000000046cce6ac_5255-1\" role=\"tooltip\" class=\"modern-footnotes-footnote__note\" tabindex=\"0\" data-mfn=\"1\"><span style=\"color: #993300;\">Kan ge alvarliga och livshotande andningsproblem.<\/span><\/span> <span style=\"font-size: 10pt;\">(aspiration)<\/span>.<\/li>\n<\/ul>\n<p><strong>F\u00f6rsiktighet<\/strong><\/p>\n<ul style=\"text-align: left;\">\n<li>Vid <span style=\"color: #008080;\">tidigare reaktion<\/span> av annan jodkontrast.<\/li>\n<li>Vid <span style=\"color: #008080;\">sv\u00e5rare mat allergi<\/span>, <span style=\"color: #008080;\">sv\u00e5r astma<\/span> eller <span style=\"color: #008080;\">tidigare reagerat<\/span> mot kontrast <span style=\"font-size: 10pt;\">(illam\u00e5ende, kr\u00e4kning, blekhet, yrsel, urticaria, mm.)<\/span>.<\/li>\n<li>Gastrografin kan ge samma \u00f6verk\u00e4nslighetsreaktioner som jodkontrast men av lindrigare karakt\u00e4r.<\/li>\n<li>Om en patient \u00e4r <span style=\"color: #008080;\">dehydrerad<\/span> <span style=\"font-size: 10pt;\">(uttorkad)<\/span>.<\/li>\n<li>Vid <span style=\"color: #008080;\">p\u00e5g\u00e5ende kolit<\/span> eller<span style=\"color: #008080;\"> maginfluensa<\/span>.<\/li>\n<li>Vid <span style=\"color: #008080;\">obehandlad manifest thyroidea-sjukdom<\/span>.<\/li>\n<li><span style=\"font-size: 12pt;\">I<span style=\"color: #008080;\">nf\u00f6r radiojod-behandling<\/span> av sk\u00f6ldk\u00f6rteln <span style=\"font-size: 10pt;\">(ej gjort jodkontrastunders\u00f6kning senaste 3 m\u00e5n).<\/span><\/span><\/li>\n<li>Vid anv\u00e4ndning p\u00e5 <span style=\"color: #008080;\">barn<\/span>.<\/li>\n<li>Finns f\u00e5 studier f\u00f6r anv\u00e4ndning till <span style=\"color: #008080;\">gravida<\/span> mer b\u00f6r anv\u00e4ndas med f\u00f6rsiktighet.<\/li>\n<\/ul>\n<p><span style=\"font-size: 18pt;\"><strong>F\u00f6rberedelser<\/strong><\/span><\/p>\n<ul style=\"text-align: left;\">\n<li>Inga.<\/li>\n<\/ul>\n<p style=\"text-align: left;\"><span style=\"font-size: 18pt;\"><strong>Biverkningar<\/strong><\/span><\/p>\n<ul>\n<li>Gastrografin kan pga. sin h\u00f6ga salthalt ge tillf\u00e4llig <span style=\"color: #008080;\">diarr\u00e9<\/span> efter\u00e5t.<\/li>\n<li><span style=\"color: #008080;\">Kr\u00e4kning<\/span> eller <span style=\"color: #008080;\">illam\u00e5ende<\/span> <span style=\"font-size: 10pt;\">(1\/10).<\/span><\/li>\n<li><span style=\"color: #008080;\">Allergisk reaktion<\/span>, urtikaria, rodnad, svullnad, mm. <span style=\"font-size: 10pt;\">(&lt;1\/1000)<\/span>.<\/li>\n<li><span style=\"color: #008080;\">Huvudv\u00e4rk<\/span>, <span style=\"color: #008080;\">svindel<\/span> <span style=\"font-size: 10pt;\">(&lt;1\/1000)<\/span>.<\/li>\n<li><span style=\"color: #008080;\">\u00d6kad hj\u00e4rtrytm<\/span>, <span style=\"color: #008080;\">hj\u00e4rtstillest\u00e5nd<\/span> <span style=\"font-size: 10pt;\">(&lt;1\/1000)<\/span>.<\/li>\n<li><span style=\"color: #008080;\">L\u00e5gt blodtryck<\/span>, <span style=\"color: #008080;\">chock<\/span> <span style=\"font-size: 10pt;\">(&lt;1\/1000)<\/span>.<\/li>\n<li><span style=\"color: #008080;\">Feber<\/span>, <span style=\"color: #008080;\">svettning<\/span> <span style=\"font-size: 10pt;\">(&lt;1\/1000)<\/span>.<\/li>\n<li><span style=\"color: #008080;\">Andningssv\u00e5righeter<\/span> vid aspiration.<\/li>\n<\/ul>\n<p>Gastrografin kan ha en <span style=\"color: #008080;\">f\u00f6rdr\u00f6jda reaktioner<\/span><span style=\"font-size: 10pt;\"> (timmar, dagar)<\/span>.<\/p>\n<p style=\"text-align: left;\"><span style=\"font-size: 18pt;\"><strong>Efter unders\u00f6kningen<\/strong><\/span><\/p>\n<ul>\n<li style=\"text-align: left;\"><span style=\"color: #008080;\">Riklig dryck<\/span> f\u00f6r att motverka dehydrering.<\/li>\n<li>F\u00e5s n\u00e5gon form av <span style=\"color: #008080;\">reaktion efter hemkomst<\/span>, som inte beh\u00f6ver sjukhusv\u00e5rd, ska detta rapporteras till sin remitterande l\u00e4kare s\u00e5 denna reaktion f\u00f6res in i patientens journaler.<\/li>\n<\/ul>\n<p><span style=\"font-size: 18pt;\"><strong>L\u00e4s mer<\/strong><\/span><\/p>\n<ul>\n<li>[<span style=\"color: #008080;\"><a style=\"color: #008080;\" href=\"https:\/\/www.fass.se\/LIF\/startpage?userType=2\" target=\"_blank\" rel=\"noopener\">FASS<\/a><\/span>] <span style=\"font-size: 10pt;\">(Farmaceutiska Specialiteter i Sverige)<\/span>.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Gastrografin (370mgJ\/ml) \u00e4r ett starkt hyperton (salthalt) vattenl\u00f6sligt jodkontrastmedel som enbart ges att dricka (peroral), via ventrikelsond (magsond) eller genom rektalsond via \u00e4ndtarmen. Gastrografin (100ml)<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2464,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-5255","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/pages\/5255","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/comments?post=5255"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/pages\/5255\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/pages\/2464"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/media?parent=5255"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}