{"title":"Contrast Emergency Management: Three Case Studies Reviewed","authors":"Melissa Mullen MSN, RN, CRN, Madeleine Sertic MB, BCh, Vanessa Parker MHA, BS, Jennifer Davenport MSM, RT (R), Karen Flynn BS, RT (R) (CT)","doi":"10.1016/j.jradnu.2025.01.006","DOIUrl":"10.1016/j.jradnu.2025.01.006","url":null,"abstract":"<div><div>Iodinated contrast media or gadolinium-based contrast agents utilized during image-guided exams or procedures enhance specific tissues, organs, blood vessels, and bones. This allows for the ability to better distinguish normal versus abnormal, which aids providers in diagnosing and treating various patient conditions. The administration of iodinated contrast media or gadolinium-based contrast agents can cause allergic-like reactions that can range from mild hives to severe vascular collapse. While these reactions occur very infrequently, clinical teams need to know how to recognize and treat them appropriately following the 2024 updated guidelines set forth by the American College of Radiology. This article presents three clinical cases of patients who underwent routine imaging studies and subsequently developed a mild, moderate, or severe allergic-like reaction. Contrast emergency management is discussed, pathophysiology is reviewed, and best practices for contrast emergency management preparedness are explored.</div></div>","PeriodicalId":39798,"journal":{"name":"Journal of Radiology Nursing","volume":"44 2","pages":"Pages 145-149"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144195957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Primum Non Nocere: Is This Concept Still Relevant Today?","authors":"Tali Fudim MSN, NP-C","doi":"10.1016/j.jradnu.2025.01.003","DOIUrl":"10.1016/j.jradnu.2025.01.003","url":null,"abstract":"","PeriodicalId":39798,"journal":{"name":"Journal of Radiology Nursing","volume":"44 2","pages":"Pages 132-134"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144196016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessing the Fall Patient—Am I Missing Something?","authors":"Karin E. Warner MS, MA, DNP, RN, CGNC, FAAN","doi":"10.1016/j.jradnu.2025.02.005","DOIUrl":"10.1016/j.jradnu.2025.02.005","url":null,"abstract":"","PeriodicalId":39798,"journal":{"name":"Journal of Radiology Nursing","volume":"44 2","pages":"Pages 139-140"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144196272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Could 30 be the New 40 for Breast Cancer Screening","authors":"Katherine Gruzalski MSN, RN, CRN, LNCC, CPHRM","doi":"10.1016/j.jradnu.2025.02.002","DOIUrl":"10.1016/j.jradnu.2025.02.002","url":null,"abstract":"","PeriodicalId":39798,"journal":{"name":"Journal of Radiology Nursing","volume":"44 2","pages":"Pages 137-138"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144196018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Verification of Nasogastric Tube Placement: Supporting Abdominal X-ray","authors":"Sung Min Koh MD","doi":"10.1016/j.jradnu.2025.01.001","DOIUrl":"10.1016/j.jradnu.2025.01.001","url":null,"abstract":"<div><div>Verifying nasogastric tube placement is critical to patient safety. While chest X-rays are commonly used, they have limitations in visualizing the tube’s distal end and side holes. This article advocates for incorporating abdominal X-rays to improve accuracy and reduce risks such as aspiration. A combined imaging protocol is proposed to enhance clinical outcomes and patient safety.</div></div>","PeriodicalId":39798,"journal":{"name":"Journal of Radiology Nursing","volume":"44 2","pages":"Pages 241-244"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144195951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Guest Editorial: The Heart of Health Care: The Vital Role of Nurse Leaders in Shaping the Future","authors":"Cathleen Biga MSN, MACC","doi":"10.1016/j.jradnu.2025.04.001","DOIUrl":"10.1016/j.jradnu.2025.04.001","url":null,"abstract":"","PeriodicalId":39798,"journal":{"name":"Journal of Radiology Nursing","volume":"44 2","pages":"Pages 129-130"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144196014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Malignant Spinal Cord Compression","authors":"Hallie Marino DNP, APRN, AGCNS-BC, BMTCN , Roberta Kaplow PhD, APRN-CCNS, AOCNS, CCRN, FAAN","doi":"10.1016/j.jradnu.2024.12.009","DOIUrl":"10.1016/j.jradnu.2024.12.009","url":null,"abstract":"<div><div>Malignant spinal cord compression (MSCC) is a structural oncologic emergency that can occur in the presence of primary or metastatic disease in the oncology patient population. The first presenting sign of this oncologic emergency is often pain. Failure to recognize early signs of MSCC can be devastating as the condition can progress to permanent neurologic damage and lead to paralysis. Understanding the underlying cause of MSCC directs the patient's treatment plan and prognosis. Diagnosing MSCC starts with a thorough assessment and health history to understand risk factors and identify signs/symptoms related to MSCC. Diagnostic imaging is key to identify the structural involvement within the spine and helps to guide the treatment plan. Patients are often managed medically, with some having surgical options as well. Additional interventions like radiation therapy may also be considered. It is important for nurses within the radiology and procedural areas to have awareness and understanding of MSCC to provide quality patient care.</div></div>","PeriodicalId":39798,"journal":{"name":"Journal of Radiology Nursing","volume":"44 2","pages":"Pages 179-183"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144196021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Power of Play","authors":"Tim Cunningham DrPH, MSN, RN, FAAN","doi":"10.1016/j.jradnu.2025.02.003","DOIUrl":"10.1016/j.jradnu.2025.02.003","url":null,"abstract":"","PeriodicalId":39798,"journal":{"name":"Journal of Radiology Nursing","volume":"44 2","pages":"Pages 184-185"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144196022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}