{"id":3294,"date":"2011-01-26T16:20:27","date_gmt":"2011-01-26T15:20:27","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=3294"},"modified":"2011-01-26T23:54:16","modified_gmt":"2011-01-26T22:54:16","slug":"forberedelser-infor-jodkontrast","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/forberedelser-infor-jodkontrast","title":{"rendered":"F\u00f6rberedelser inf\u00f6r jodkontrast"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0pt none;\" title=\"Fr\u00e5ga\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_faq.gif\" alt=\"\" width=\"12\" height=\"13\" \/> Hur ska man f\u00f6rbereda en patient som ska genomg\u00e5 en jodkontrastr\u00f6ntgen?<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0pt none;\" title=\"Svar\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\" alt=\"\" width=\"12\" height=\"13\" \/> Innan man ger jodkontrastmedel till blodet ska ett blodv\u00e4rde (kreatinin) vara relativt nytaget. Kreatininv\u00e4rdet visar hur bra njurarna fungerar och deras f\u00f6rm\u00e5ga att uts\u00f6ndra slaggprodukter fr\u00e5n blodet via urinen. Om denna funktion f\u00f6rs\u00e4mras stiger kreatininhalten i blodet. Man ska d\u00e5 vara restriktiv med att spruta in st\u00f6rre m\u00e4ngder kontrastmedel vid en unders\u00f6kning.<br \/>\nSedan m\u00e5ste man \u00e4ven kontrollera\u00a0att patienten inte reagerat mot kontrastmedel vid en ev. tidigare unders\u00f6kning med kontrast. Har patienten sv\u00e5rare astma b\u00f6r man \u00e4ven d\u00e5 vara observant p\u00e5 ev. reaktion.<br \/>\nOm patienten medicinerar med ett Metformin-preparat f\u00f6r sin diabetes ska patienten efter\u00e5t g\u00f6ra ett uppeh\u00e5ll med denna medicinering\u00a0i 48 timmar. P\u00e5 vissa sjukhus ska patienten avbryta denna medicinering 3 dagar innan unders\u00f6kningen. Innan denna medicin \u00e5terins\u00e4ttes ska ett nytt blodprov, f\u00f6r kontroll av kreatininv\u00e4rdet, vara taget.<\/p>\n<p>Sedan ska man \u00e4ven vara aktsam p\u00e5 om patienten har ett d\u00e5ligt allm\u00e4ntillst\u00e5nd, \u00e4r uttorkad, om patienten har vissa sk\u00f6ldk\u00f6rtelrubbningar eller sjukdomar, myastenia gravis (sv\u00e5r muskelsjukdom), h\u00f6g \u00e5lder, grav anemi (blodbrist), p\u00e5g\u00e5ende cytostatikabehandling, mm. Vissa sjukhus vill \u00e4ven att patienten \u00e4r fastande n\u00e5gon timme innan unders\u00f6kningen.<\/p>\n<p>Annars \u00e4r det inte n\u00e5gra andra specifika f\u00f6rberedelser&#8230;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0pt none;\" title=\"Svarat av\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_profile.gif\" alt=\"\" width=\"12\" height=\"13\" \/> K.T. rtgssk<br \/>\nR\u00f6ntgenavdelningen Helsingborgs lasarett<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hur ska man f\u00f6rbereda en patient som ska genomg\u00e5 en jodkontrastr\u00f6ntgen? Innan man [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[143,38],"class_list":["post-3294","post","type-post","status-publish","format-standard","hentry","category-forberedelser","tag-forberedelser","tag-kontrast"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/3294","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=3294"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/3294\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=3294"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=3294"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=3294"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}