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12524 Medicine

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?

AAdminister mannitol immediately after the contrast is given.
BPerform prophylactic hemodialysis after the procedure.
CGive IV hydration with normal saline or sodium bicarbonate prior to and following the procedure. (Correct Answer)
DIndomethacin 25 mg the morning of the procedure.