UW MSK Residents' Manual

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====== MSK MEDICATION POLICY ======

  * Medication policy should be administered with the referring MD's approval. 
  * Patient should call his/her physician who prescribed the medications.


===== Blood Thinners =====

|Procedures         | NSAIDS, Aspirin|Coumadin|Others*|
|Arthrograms|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|
|Bone biopsy|Stop 5 days prior to procedure|Stop 5 days prior to procedure<sup>B</sup>|Stop 5 days prior to procedure|


Others*: Plavix,Clopidorel, Ticlid, Aggrenox etc.

A:No need to check INR

B:Check INR on the day of procedure

===== Metformin =====
No restrictions are necessary. 

===== Contrast Allergy =====

See UW radiology policy	See UW radiology policy	See UW radiology policy.
Please follow UW radiology premedication policies. 

===== NPO =====
NPO is not necessary for arthrograms, steroid injections and joint aspirations. 
6 hours of NPO is needed for bone biopsies.

UW MSK Residents' Manual

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