- Risk Factors for RCIN: Renal insufficiency, >60 yr old, DM, Renal Transplant, Hypovolemia, EF <30%, concomitant nephrotoxic drugs
- Consider Prophylaxis with anyone of three methods (no method has been found superior.
- Normal Saline: 1 ml/kg/h IV pre and post study
- NaHCO3: 3 ml/kg IV bolus over 1 hr then 1 ml/kg/h pre and post
- IV Acetylcysteine 150 mg/kg bolus over 1hr then 50 mg/kg over 4h