09/05/2024
This is interesting and good to know!
🤯 Ever had to scramble because a patient was flagged with an iodine allergy? It can lead to major changes in their care—sometimes for no good reason. So let’s clear up the confusion. Many of the things we’ve been told about iodine allergies are myths, and these misconceptions could be affecting your patients' outcomes.
Here’s the real deal:
🔍 Myth #1: Allergic to one iodine-containing product? You’re allergic to them all.
Reality Check: Nope, not true. ❌ An allergy to one doesn’t mean an allergy to all. Each iodine-containing product is unique, so you need to evaluate them individually. Let’s not jump to conclusions. 🚫
🔍 Myth #2: Shellfish allergy = iodine allergy.
Reality Check: Shellfish allergies have nothing to do with iodine. 🦐 The real culprit in shellfish is a protein, not iodine. That means povidone-iodine and iodinated contrast media are safe to use in patients with a shellfish allergy. Big relief, right? 😌
🔍 Myth #3: Iodine itself is what causes allergic reactions.
Reality Check: Iodine can’t trigger allergies—it’s essential for our bodies. 💪 The reactions people have are usually due to other ingredients in the products, like povidone in skin antisepsis or the thickness of contrast agents.
🔍 Myth #4: Labeling a patient as iodine-allergic won’t really impact their care.
Reality Check: Think again. 🤔 This label can lead to unnecessary care changes, like using less effective prep solutions, increasing the risk of surgical site infections, or causing delays that could harm patient outcomes. 🚑
🔖 “Patients who have had any allergy to anything containing iodine, usually shellfish, are labeled with an iodine allergy—but this label is false,” says Dr. Laila S. Bailey, DNP, RN, CNOR, ACNS-BC.
With 35+ years of experience in perioperative nursing, Dr. Bailey is a recognized expert in nursing research and practice. And her recent investigations into iodine alternatives and contrast reactions have challenged long-held beliefs, urging perioperative nurses to reevaluate how iodine allergies are handled in patient care.
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