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CM Safety
Other reactions to IV contrast administration
Hyperthyroid Episode ("Thyroid Storm")
- Iodine in contrast agents can stimulate an acute overproduction of thyroid hormone in patients with an occult or overt hyperthyroid condition
- Hyperthyroid conditions include
- Grave’s disease
- Hyperactive nodule
- Toxic multinodular goiter (Plummer’s disease)
- Premedicate hyperthyroid patients
- Sodium perchlorate, 1 day before CT and continued for 8 to 14 days. In emergency CT studies start directly before CT
- Thiamazole, 1 day before CT and continued for 28 days. In emergency CT studies start directly
before CT
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