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medication_policy

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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, AspirinCoumadinOthers*
ArthrogramsNo restrictionsNo restrictionsNo restrictions
Steroid injectionNo restrictionsNo restrictionsNo restrictions
Joint aspirationStop 5 days prior to procedureStop 5 days prior to procedureASee below
Bone biopsyStop 5 days prior to procedureStop 5 days prior to procedureBSee below

Others*:

No Restrictions

  • Arixtra (fondarinus)
  • ASA
  • Ticlid (ticlopidine)
  • Effient (prasugrel)
  • Ibuprofen/Diciofenac/Ketoprofen/Indomethacin
  • Meloxicam/Nabumetone/Piroxicam
  • Naproxan/Sulindac/Diflunisal/Celecoxib

Hold

  • Coumadin : Hlold for 5 days
  • 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: No need to check INR

B: 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.

Metformin

No restrictions are necessary.

Contrast Allergy

Follow UW radiology premedication policies.

NPO

  1. NPO is not necessary for arthrograms, steroid injections and joint aspirations.
  2. 6 hours of NPO is required for bone biopsies.
medication_policy.1589917918.txt.gz · Last modified: 2020/05/19 12:51 by hyomul