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medication_policy [2010/06/28 16:39]
hyomul
medication_policy [2020/05/19 13:11]
hyomul [Blood Thinners]
Line 3: Line 3:
   * Medication policy should be administered with the **__referring MD's approval__**. ​   * Medication policy should be administered with the **__referring MD's approval__**. ​
   * Patient should call his/her physician who prescribed the medications.   * Patient should call his/her physician who prescribed the medications.
- 
 ===== Blood Thinners ===== ===== Blood Thinners =====
  
-|Procedures ​        | NSAIDS, Aspirin|Coumadin|Others*| +|//Procedures//         | **NSAIDS, Aspirin**|**Coumadin**|**Others***| 
-|Arthrograms|No restrictions|No restrictions|No restrictions| +|**Arthrograms**|No restrictions|No restrictions|No restrictions| 
-|Steroid injection|No restrictions|No restrictions|No restrictions| +|**Steroid injection**|No restrictions|No restrictions|No restrictions| 
-|Joint aspiration|Stop 5 days prior to procedure|Stop 5 days prior to procedure<​sup>​A</​sup>​|Stop 5 days prior to procedure+|**Joint aspiration**|No restrictions|No restrictions|No restrictions
-|Bone biopsy|Stop 5 days prior to procedure|Stop 5 days prior to procedure<​sup>​B</​sup>​|Stop 5 days prior to procedure|+|**Bone and soft tissue ​biopsy**|No restrictions|Stop 5 days prior to procedure<​sup>​A</​sup>​|See below| 
 +==== Others*: ==== 
 +  
 +=== No Restrictions === 
 +  * Arixtra (fondarinus) 
 +  * Ticlid (ticlopidine) 
 +  * Effient (prasugrel) 
 +  * Ibuprofen/​Diciofenac/​Ketoprofen/​Indomethacin 
 +  * Meloxicam/​Nabumetone/​Piroxicam 
 +  * Naproxan/​Sulindac/​Diflunisal/​Celecoxib  ​
  
 +=== Hold ===
 + 
 +  * Plavix (clopidogrel) : Hold for 5 days
 +  * Eliquis (apixaban) : Hold for 2 days
 +  * Pradaxa :  Hold for 2 days
 +  * Xeralto (rivaroxaban) :  Hold for 2 days
 +  * IV Heparin : Hold for 4 hours
 +  * SQ Heparin : Hold one dose
 +  * LMWH (Lovenox) : Hold one dose
  
-Others*Plavix, Clopidorel, Ticlid, Aggrenox etc.+ACheck INR on the day of procedure
  
-ANo need to check INR+  * CBC and Platelet (Platelet≥ 50,000 within 30 days) 
 +  * INR (INR: ≤ 2  on the procedure day). IF INR is > 2, procedures should be rescheduled. ​
  
-B: Check INR on the day of procedure 
  
 ===== Metformin ===== ===== Metformin =====
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 ===== Contrast Allergy ===== ===== Contrast Allergy =====
  
-Follow [[UW radiology premedication]] policies. ​ +Follow [[https://​depts.washington.edu/​uwerad/​wordpress/?​page_id=64 | UW radiology premedication]] policies. ​
 ===== NPO ===== ===== NPO =====
-NPO is not necessary for arthrograms,​ steroid injections and joint aspirations.  +  - NPO is not necessary for arthrograms,​ steroid injections and joint aspirations.  
-6 hours of NPO is required for bone biopsies. ​+  ​- ​6 hours of NPO is required for bone biopsies. ​
medication_policy.txt · Last modified: 2020/05/19 13:12 by hyomul