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medication_policy
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medication_policy [2010/06/28 14:00] hyomul created |
medication_policy [2020/05/19 13:12] (current) hyomul [Others*:] |
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| ====== MSK MEDICATION POLICY ====== | ====== MSK MEDICATION POLICY ====== | ||
| - | * 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. | + | A: Check INR on the day of procedure |
| - | A:No 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 ===== | ||
| No restrictions are necessary. | No restrictions are necessary. | ||
| - | |||
| ===== Contrast Allergy ===== | ===== Contrast Allergy ===== | ||
| - | See UW radiology policy See UW radiology policy See UW radiology policy. | + | Follow [[https://depts.washington.edu/uwerad/wordpress/?page_id=64 | UW radiology premedication]] policies. |
| - | Please follow 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 needed for bone biopsies. | + | - 6 hours of NPO is required for bone biopsies. |
medication_policy.1277758803.txt.gz · Last modified: 2012/04/03 01:53 (external edit)
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