As mentioned above, the iodinated contrast that is used in angiography, although safer than in previous years, still is a significant cause of renal toxicity. The higher the dose, the more common is renal failure. A longer, more complicated procedure usually is indicative of a larger contrast dose. The patient's creatinine level should be checked before discharge to ensure normal or baseline function. Additional risk of renal toxicity exists for patients who take oral hyperglycemic medications. Therefore, their medications should be held for 48 hr, and their renal function should be checked more frequently after discharge.

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