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Medical History Patient Name:___Date:___ 1. Allergies: (Describe reaction) NONE Penicillin ___ Sulfa Drugs ___ Contrast Dye ___ Betadine/Iodine ___ Latex ___ Other___2. Personal Medical Hx:
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How to fill out contrast dye allergy call

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How to fill out contrast dye allergy call

01
Gather necessary information about the patient's medical history, specifically looking for any prior allergic reactions to contrast dye.
02
Verify the correct contrast dye and dose prescribed for the upcoming procedure.
03
Educate the patient about the risks and benefits of the contrast dye, including the possibility of an allergic reaction.
04
Have emergency medications and equipment readily available in case of an allergic reaction during the procedure.
05
Monitor the patient closely during and after the administration of contrast dye for any signs of an allergic reaction.
06
Document any allergic reactions and their management in the patient's medical record.

Who needs contrast dye allergy call?

01
Patients who have a history of allergic reactions to contrast dye or other similar substances.
02
Healthcare providers who administer contrast dye for diagnostic procedures.

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A contrast dye allergy call is a notification or report made to inform relevant authorities or medical personnel about an individual's allergic reaction to contrast dye used in medical imaging procedures.
Healthcare providers, typically those administering the contrast dye or overseeing imaging procedures, are required to file a contrast dye allergy call.
To fill out a contrast dye allergy call, a healthcare provider must provide patient identification information, details of the allergic reaction, the type of contrast dye used, and any treatments administered.
The purpose of a contrast dye allergy call is to ensure patient safety, improve medical records, and facilitate appropriate future medical care by alerting healthcare providers about known allergies.
Reported information must include patient demographics, the nature of the allergic reaction, the specific contrast dye involved, and any immediate interventions provided.
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