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medication_policy
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medication_policy [2010/07/02 01:25] hyomul |
medication_policy [2020/05/19 13:11] hyomul [Blood Thinners] |
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| |**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>|See below| | + | |**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>|See below| | + | |**Bone and soft tissue biopsy**|No restrictions|Stop 5 days prior to procedure<sup>A</sup>|See below| |
| - | + | ||
| ==== Others*: ==== | ==== Others*: ==== | ||
| - | * Plavix / Clopidogrel: Hold 7 days prior | + | === No Restrictions === |
| - | * Ticlid / Ticlopidine: Hold 14 days prior | + | * Arixtra (fondarinus) |
| - | * Lovenox / LHMH: Hold 12 hours if taking prophylactic dose. Hold 24 hours if taking treatment dose. | + | * Ticlid (ticlopidine) |
| + | * Effient (prasugrel) | ||
| + | * Ibuprofen/Diciofenac/Ketoprofen/Indomethacin | ||
| + | * Meloxicam/Nabumetone/Piroxicam | ||
| + | * Naproxan/Sulindac/Diflunisal/Celecoxib | ||
| - | A: No need to check INR | + | === 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 | ||
| + | |||
| + | A: Check INR on the day of procedure | ||
| + | |||
| + | * 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 ===== | ||
| Line 26: | Line 40: | ||
| ===== 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
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