{"id":1878,"date":"2010-04-23T16:38:07","date_gmt":"2010-04-23T15:38:07","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=1878"},"modified":"2010-05-02T21:22:31","modified_gmt":"2010-05-02T20:22:31","slug":"komplikation-vid-kontrastinjektion","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/komplikation-vid-kontrastinjektion","title":{"rendered":"Komplikation vid kontrastinjektion"},"content":{"rendered":"<p><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_faq.gif\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-81\" title=\"Fr\u00e5ga\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_faq.gif\" alt=\"Fr\u00e5ga\" width=\"12\" height=\"13\" \/><\/a>\u00a0Jag skulle g\u00f6ra en CT buk. Jag fick hela kontrastmedel subcutan. Min arm \u00e4r tre g\u00e5nger st\u00f6rre. Jag har ont i armen, fingrarna och i hela handen. Jag kan inte str\u00e4cka p\u00e5 min arm. Tror du att jag kommer att f\u00e5 problem i framtiden? Kommer jag att bli allergisk mot kontrastmedel?<\/p>\n<p><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-85\" title=\"Svar\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\" alt=\"Svar\" width=\"12\" height=\"13\" \/><\/a>\u00a0\u00a0<\/p>\n<div id=\"attachment_1918\" style=\"width: 115px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2010\/04\/CT_tryckspruta_12_a.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-1918\" class=\"size-thumbnail wp-image-1918   \" style=\"border: black 1px solid;\" title=\"Tryckspruta\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2010\/04\/CT_tryckspruta_12_a-150x150.jpg\" alt=\"Tryckspruta CT\" width=\"105\" height=\"105\" \/><\/a><p id=\"caption-attachment-1918\" class=\"wp-caption-text\">Tryckspruta CT<\/p><\/div>\n<p>Ibland d\u00e5 kontrasten sprutats in hamnar det\u00a0i mjukdelarna utanf\u00f6r blodk\u00e4rlet (extravasalt) ist\u00e4llet\u00a0trots v\u00e5ra kontroller av injektionsn\u00e5lens l\u00e4ge och funktion f\u00f6re och under injektionen. Detta uppt\u00e4cks i regel omg\u00e5ende\u00a0efter injektionens start\u00a0d\u00e5 vi omedelbart\u00a0avbryter injektionen. Oftast r\u00f6r det sig d\u00e5 om ytterst liten m\u00e4ngd kontrast som hinner &#8221;g\u00e5 fel&#8221;.<br \/>\nOm s\u00e5 skulle ske\u00a0kan patienten utan besv\u00e4r oftast g\u00e5 hem efter unders\u00f6kningen och sj\u00e4lv h\u00e5lla koll p\u00e5 instickst\u00e4lle och ev. svullnad. F\u00f6r att lindra ev. besv\u00e4r\u00a0i form av\u00a0svullnad eller v\u00e4rk vid instickst\u00e4llet\u00a0kan man l\u00e4gga n\u00e5t kylande och h\u00e5lla armen h\u00f6gre upp \u00e4n vad hj\u00e4rtat sitter. N\u00e4stan alla fall \u00e4r extravasering helt ofarligt och klingar oftast av helt\u00a0inom 2-4 dagar.<\/p>\n<p>Stora m\u00e4ngder kontrast, s\u00e5 som hela dosen vid CT-buk (80-120ml), som g\u00e5tt extravasalt kan orsaka st\u00f6rre svullnad och kan d\u00e5\u00a0f\u00f6rsv\u00e5ra f\u00f6r det ven\u00f6sa blod\u00e5terfl\u00f6det. Detta kan d\u00e5 \u00e4ven orsaka\u00a0svullnad distalt om extravaseringen (l\u00e4ngre ut p\u00e5 t.ex. armen). Likas\u00e5 kan den kapill\u00e4ra \u00e5terfyllnaden st\u00f6ras med syresbrist i v\u00e4vnaderna och k\u00e4nselbortfall i armen\/handen som f\u00f6ljd. Det kan \u00e4ven uppst\u00e5 rodnad, missf\u00e4rgning, bl\u00e5sor eller s\u00e5r i huden.<\/p>\n<p>En st\u00f6rre kontrastm\u00e4ngd ute i mjukdelarna ska s\u00e5ledes alltid handl\u00e4ggas av l\u00e4kare i samband med h\u00e4ndelsen. Likas\u00e5 ska extravasering\u00a0som inte gett omedelbara\u00a0besv\u00e4r som ovan men som vid ett senare tillf\u00e4lle uppst\u00e5r,\u00a0\u00f6kar eller om\u00a0besv\u00e4ren\u00a0inte avklingar inom rimlig tid efter\u00e5t snarast handl\u00e4ggas av l\u00e4kare.<br \/>\nDenna enskilda h\u00e4ndelse g\u00f6r inte att du blir\u00a0allergisk mot kontrastmedel om du inte varit\u00a0s\u00e5 innan.<\/p>\n<p><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_profile.gif\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-83\" title=\"Svarat av\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_profile.gif\" alt=\"Svarat av\" width=\"12\" height=\"13\" \/><\/a>\u00a0K.T. rtgssk.<br \/>\nR\u00f6ntgenavdelningen Helsingborgs lasarett<\/p>\n<p><span style=\"color: #888888;\">Fotnot: Denna person rekommenderades att\u00a0snarast upps\u00f6ka l\u00e4kare f\u00f6r bed\u00f6mning!<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0Jag skulle g\u00f6ra en CT buk. Jag fick hela kontrastmedel subcutan. Min arm [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[142,38],"class_list":["post-1878","post","type-post","status-publish","format-standard","hentry","category-annat","tag-ct","tag-kontrast"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/1878","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/comments?post=1878"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/1878\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=1878"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=1878"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=1878"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}