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A 60-year-old diabetic woman develops angina and will need a coronary angiogram for evaluation of coronary artery disease. She has a creatinine of 2.2. Which of the following is the most effective in reducing the risk of contrast-induced nephropathy?
Administer mannitol immediately after the contrast is given.
Perform prophylactic hemodialysis after the procedure.
Give IV hydration with normal saline or sodium bicarbonate prior to and following the procedure.
Indomethacin 25 mg the morning of the procedure.
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