Medicalcortexalmost 7 years ago

An 81-year-old woman is due to have a contrast-enhanced CT scan to investigate suspected lung cancer. She suffers from chronic kidney disease, due to a history of hypertension.Her most recent eGFR is 50ml/min/1.73m2. Due to the increased risk of contrast-induced acute kidney injury in this patient, which of the following would be most appropriate? A-Wait for eGFR to improveOffer IV hydration before and after contrast infusion B-Maintain tight blood pressure control C-Offer IV infusion of acetylcysteine D-Temporarily stop patient's ACE inhibitors