Contrast with Renal Dysfunction

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Indication = Cr > 1.1



Harbor Cut-off 1.5 for CT



Most give mucomyst, although in the original study patients received mucomyst much before the CT

Mucomyst 600mg PO



(3 amps NaBicarb in 1L of D5H2O)

Bolus 3mL/kg 1hr prior to IV contrast,

then 1mL/kg/hr for 6hrs after



Merten et al, JAMA 2004

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