medicine   49894

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Stop Saying Your Patient Is Allergic to Iodine – Op-(m)ed
> This not an exercise in semantics, but a patient care issue. Iodine is a mineral we all need, intentionally added to our salt supply, so that people do not get iodine-deficiency goiters as they once did. (We could boost everyone’s protein intake by adding peanut powder to the salt supply, but people might understandably object.) So while some people may be allergic to compounds that happen to contain iodine, the iodine in the molecule is not the culprit.

Iodine-based contrast agents are widely used for CT and other x-ray studies. They light up blood vessels and enhance perfusing tissue. These agents are essential for diagnosing everything from clots, to tumor, to bleeding. Unfortunately, many patients do not get contrast studies they may benefit from, due to unnecessary confusion about allergies.

The most important step to avoiding confusion is to start calling contrast agents by their names, as you would do for any other drug, and to remove “iodine” from your allergy vocabulary. Like antibiotics, there is more than one kind of contrast agent. Radiologists routinely dictate the name of the agent used in their study reports, so if a reaction occurs, the information is readily available. The problem comes when we do not distinguish one agent from another. Most patients%
allergy  medicine 
2 days ago by porejide

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