An Investigation on Hydration with N-acetylcysteine and Sodium Bicarbonate for Prevention of Contrast-Induced Nephropathy

Abstract

OBJECTIVES: The purpose of this study was to determine the incidence of contrast induced nephropathy (CIN) for patients receiving a pre-hydration regimen to prevent CIN. METHODS: This was a descriptive retrospective chart review study. Charts were reviewed from Banner Boswell Medical Center and a nephrologist’s office in Sun City, Arizona. RESULTS: There were a total of 12 patients included in the study. The population after completetion of chart reviews consisted of 6 male patients and 6 female patients. The age range of the patients included was 54-90 years old. CIN occurred in zero of the twelve patients. Half of the 12 patients had a decrease in serum creatinine ranging from 0.1- 0.6 mg/dL, 24-48 hours post-diagnostic procedure. CONCLUSIONS: There was no incidence of CIN after the 12 patients received the specific protocol. This study demonstrates the potential for this regimen as a pre-hydration option for individuals undergoing procedures in which radiocontrast is necessitated. A prospective observational study with a larger sample size would be warranted to determine the safety and efficacy of the protocol and increase the validity of the results of this descriptive study.