BAT

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IV an PO contrast visualize different pathology.  One form does not substitute for the other.  My understanding is that with PO contrast the delay is so that the water can be absorbed by the bowel allowing the iodine residue to enhance the intestinal lining.  IV contast evaluates vascular distribution of the contrast medium.  Different methods of administration for visualizing different pathology.

Dan P Burgess RN MS
Education/Skills Coordinator
Emergency/Urgent Care Services
Memorial Hospital at Gulfport
228-575-2079

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>>> "Ronald Gross" <Rgross at harthosp.org> 12/26/2007 6:39 PM >>>
IV contrast is fine and we use it on every scan.  Just make sure that the creatinine is normal, or you just might end up with some element of ATN if you are not careful about protecting those beans pre-scan.

Have a safe and healthy New Year,
Ron

>>> "cathy armstrong" <cathyarmstrong1 at googlemail.com> 12/26/2007 5:24 PM >>>
why not iv contrast?
cathy

On Dec 25, 2007 5:37 AM, <ccrone at charter.net> wrote:

> I work at a small, rural ER (about 18, 000 annual ED volume).  We have no
> FAST/Ultrasound immediately available at all times.  If we have a case of
> blunt abdominal trauma & order a CT scan, our radiologist demands that we
> have the patient drink oral contrast & wait 2 hours for the CT to be
> performed.  It then takes another 30 minutes for the report to be obtained.
>    What do other institutions currently do regarding the use of oral
> contrast when obtaining abdominal/pelvic CT's for blunt abdominal trauma in
> a hemodynamically stable patient-- with suspected internal injuries?
>
> Thanks
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