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CHIPS: Prevention of contrast-induced nephropathy before and after cardiac catheterization

Mohamed Toufic El Hussein, Calla Ha

    The Nurse Practitioner
    |November 22, 2021
    PubMed

    Insights

    Preventing contrast-induced nephropathy (CIN), a common cause of acute kidney injury, is crucial. A new mnemonic, CHIPS, aids practitioners in remembering key preventive strategies like contrast minimization and hydration.

    Area of Science:

    • Nephrology
    • Radiology
    • Hospital Medicine

    Background:

    • Contrast-induced nephropathy (CIN) is a significant cause of hospital-acquired acute kidney injury.
    • Effective preventive strategies are essential for patient care.

    Purpose of the Study:

    • To provide healthcare practitioners, particularly Nurse Practitioners (NPs), with a memorable tool for CIN prevention.
    • To consolidate key preventive measures into an easily recalled format.

    Main Methods:

    • Development of a mnemonic (CHIPS) to summarize CIN prevention strategies.
    • The mnemonic covers: Contrast minimization, Hemofiltration, Iso-osmolar/low osmolar contrast agents, Pharmacologic interventions, and Saline I.V. hydration.

    Main Results:

    • The CHIPS mnemonic offers a structured approach to CIN prevention.
    • It integrates multiple evidence-based interventions for practical application.

    Conclusions:

    • The CHIPS mnemonic serves as a valuable educational and clinical tool for preventing CIN.
    • Standardizing preventive measures through mnemonics can improve patient outcomes in hospital settings.

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