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medication_policy [2010/07/02 01:25] hyomul |
medication_policy [2020/05/19 13:12] (current) hyomul [Others*:] |
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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 ===== | ||
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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. |