Why is IVP contraindicated in diabetic and poor renal function?

[watermen]

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Why is IVP contraindicated in diabetic and poor renal function?

 

[King Arthur]

probably bc of contrast which is bad for kidney function.

 

[Dr JPH]

Contrast nephrotoxicity from the dye.

Diabetic patients are at higher risk for acute renal failure from the dye.

Think about what the vasculature of a diabetic patient with poor renal function is like.

 

[watermen]

Contrast nephrotoxicity from the dye.

Diabetic patients are at higher risk for acute renal failure from the dye.

Think about what the vasculature of a diabetic patient with poor renal function is like.

Thanks a lot. It makes sense.😀

 

[MacGyver]

Diabetes is not a contraindication per se to contrast dye unless they already have elevated creatinine from diabetic nephropathy.

Basically as long as they have a normal baseline creatinine the risk of contrast nephropathy is virtually nil.