Curriculum for the Management of Contrast Media Reactions, Contrast Induced Nephropathy & Nephrogenic Systemic Fibrosis

Format Publication ID Version Published
Tutorial 9333 1 January 31, 2013


Radiologists supervising imaging studies using contrast media should have the necessary knowledge and skills to deal with adverse contrast media reactions and their appropriate management. The aim of this curriculum is to educate practicing radiologists, residents, fellows, non-radiology house staff covering contrast administration after hours, and hospital code teams regarding current recommendations for dealing with contrast media reactions, contrast-induced nephropathy and nephrogenic systemic fibrosis. Various drugs used in the management of these reactions are reviewed in detail and an algorithmic approach to the management of these reactions is provided. We also review the medication regimens that can minimize the risk of these complications. Our curriculum incorporates the current guidelines as recommended by the American College of Radiology in their manual on contrast medium published in 2012. Pretest questions have been provided for self-assessment.

We encourage all physicians responsible for contrast media administration and reaction management to review this curriculum on a regular basis, at least biannually. Algorithms provided are also a good resource for placement in radiology suites and hospital crash carts.


Bhargava P, Seyal A, Lall C, Moshiri M, Schopp J, Favinger J, Wang C, Lalwani N, Gunn M, Bush W. Curriculum for the Management of Contrast Media Reactions, Contrast Induced Nephropathy & Nephrogenic Systemic Fibrosis. MedEdPORTAL; 2013. Available from:

Contains Information Suitable for Patient Education

Educational Objectives

  1. To review acute reactions to contrast media and their management. Algorithmic approach to the management of these reactions has been outlined.
  2. To discuss premedication regimens employed in susceptible patients prior to administering the contrast media.
  3. To review contrast-induced nephrotoxicity and nephrogenic systemic fibrosis along with guidelines for administering contrast media in different stages of renal failure. Interventions that can minimize the risk of these complications have been discussed.


  • Contrast Media Reactions, Contrast Induced Nephropathy, Nephrogenic Systemic Fibrosis (MeSH)


  • Medical
    • Critical Care Medicine
    • Diagnostic Radiology
    • Emergency Medical Services

Competencies Addressed

  • Medical
    • Medical Knowledge
    • Patient Care
    • Practice-based Learning & Improvement
    • Systems-based Practice

Academic Focus

  • Clinical Sciences
    • Clinical Skills/Doctoring

Professional Interest

  • Curriculum Development/Evaluation
  • Evaluation of Clinical Performance
  • Instructional Materials/Methods
  • Patient Safety/Medical Errors

Organ Systems

  • Urinary system

Intended Audience

  • Practicing Health Professional
    • Physician
  • Professional School Post-Graduate Training
    • Fellow
    • Resident

Instructional Methods

  • Independent Study
  • Lecture

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Associated Content

Series (2)

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