IR PROCEDURE REFERENCE GUIDE Procedure Scan Involvement Preparation Length For Procedure CT CT BIOPSIES/ DRAINS Done per Radiologist in CT (Must be pre-approved by Radiologist) NPO after midnight or 6 hours to May take am meds EXCEPT diabetic/ anticoagulants/ antiplatelets PT/INR/Platelets Off anticoagulants /antiplatelets 3-5 days BX Takes 1 hour to complete/ Drains take 1+ hours to complete Pt. will get sedation- Must have driver post 2-4 hours recovery CARDIAC CTA Used to evaluate Cardiac anatomy NPO 6 hours No caffeine 12 hrs May take am meds, EXCEPT diabetic or ED meds Do not take Excedrin 12 hrs Do not exercise to test IODINE Allergies? Need premedicated Must have Creatinine level drawn within 30 days of exam, if needed. (over 65,diabetic,kidney disease or multiple myeloma) Pt will receive Valium Takes at least 2 hours to complete Must not drive post - bring driver www.goshenquickguide.com Hospital Departments/Imaging Page 1 Rev 1/2017
MRI MRI SEDATION ANY NPO for 6 Hours Prior to Exam Adult patients will receive Valium Takes at least 2 hours to complete depending on scan Pt. will get sedation- Must not drive post Must be scheduled with Radiology RN www.goshenquickguide.com Hospital Departments/Imaging Page 2 Rev 1/2017
Procedure Purpose Preparation Length For Procedure ULTRA SOUND LIVER BIOPSY Obtain liver tissue for needed diagnosis NPO 6hours Off anticoagulants/ antiplatelets for 3-5 days PT/ INR/Platelets to BX May take am meds EXCEPT diabetic/ anticoagulants/ antiplatelets Takes 30-60 minutes to complete PT will get sedationmust have driver PT must stay 2-4 hours post BX for recovery PARACENTESIS Drainage of Fluid from Abdomen May have light meal PT/ INR/Platelets Off anticoagulants/ antiplatelets for 3-5 days Takes 60 minutes to complete THORACENTESIS Drainage of Fluid from Chest THYROID/SOFT TISSUE BIOPSY Obtain thyroid tissue for needed diagnosis May have light meal Off anticoagulants / antiplatelets for 3-5 days PT/INR/Platelets May have light meal Off anticoagulants/ antiplatelets 3-5 days PT/INR/Platelets for all except Thyroid Takes 60 minutes to complete Takes 60 min to complete www.goshenquickguide.com Hospital Departments/Imaging Page 3 Rev 1/2017
XRAY LUMBAR PUNTCURE Obtain spinal fluid for analysis May have light meal PT/ INR/Platelets Off anticoagulants/ antiplatelets for 3-5 days Takes 30-60 minutes to complete 2-4 hours for recovery Patient will need a driver PERCUTANEOUS BIOPSY/ IR PROCEDURES REQUIRING SEDATION NPO 6 hours Antibiotics? PT/INR and Platelets Off anticoagulants/ antiplatelets 3-5 days Takes 60 minutes -2 hours to complete Patient will need a driver 2-4 hours for recovery www.goshenquickguide.com Hospital Departments/Imaging Page 4 Rev 1/2017
Myelogram Examination of structures within spinal column May have light meal This test involves *Iodine* Premedicate if Iodine allergy No caffeine after 7pm the night before Drink 2-3 large glasses of water night before and morning of Patient will receive Valium See list of medications to HOLD below Off anticoagulants/ antiplatelets for 3-5 days PT/ INR, if on coumadin Takes 30 min to complete, CT scan after. 2-4 hours for recovery Pt needs a driver www.goshenquickguide.com Hospital Departments/Imaging Page 5 Rev 1/2017
Myelogram Medications These medications should not be taken 48 hours and 24 hours after Myelography. Phenothiazines Antidepressants MAO Inhibitors CNS Stimulants Antipsychotic/ Tranquilizers Compazine Chlorpromazine Etrafon Fluphenazine Mellaril Navane Permitil Perphenazine Phenergan Pherazine Prochlorperazine Procomp Prolixin Promapar Prometh fortis Promethazine Sonazine Stelazine Thioridazine Thiothixene Thorazine Triavil Trifluoperazine Trilafon Amitid Amitril Amitriptyline Amoxapine Anafranil Aventyl Bupropion Clomipramine Cymbalta Desipramine Desvenlafaxine Doxepin Duloxetine Effexor Elavil Etrafon Fluoxetine Imipramine Limbitrol Maprotiline Nopramin Nortriptyline Pamelor Pertofrane Pramine Pristiq Protriptyline Prozac Sarafem Silenor Sinequan Surmontil Symbyax Tofranil Trimipramine Venlafaxine Vivactil Wellbutrin Zonalon Zyban Azilect Atapryl Carbex Eldepryl Emsam Isocarboxazid Isoniazid Linezolid Marplan Nardil Parnate Phenelzine Rasagililne Rifamate Rifater Selegiline Tranylcypromine Zelapar Zyvox Adderall Adipex All caffeine Containing Products Amphetamines Aminophylline Anoquan Armodafinil Awake Benzedrine Benzphetamine Biphetamine Bontril Cafcit Cafergot Concerta Daytrana Delcobese Desoxyephedrine Desoxyn Dexampex Dexedrine Dexmethylphenidate Dextroamphetamine Dextrostat Didrex Diethylpropion Dopram Doxapram Esgic Excedrin Fastin Femcet Fioricet Fiorinal Focalin Invagesic Ionamin Lanorinal Lisdexamfetamine Medigesic Plus Metadate Methampex Methamphetamine Methylin Methylphenidate Migergot Modafinil Abilify Aripiprazole Asenapine Clozapine Droperidol Eskalith Fanapt Fazaclo ODT Geodon Haldol Haloperidol Iloperidone Inapsine Invega Latuda Lithane Lithium Lithobid Lithotabs Loxapine Loxitane Lurasidone Mellaril Navane Olanzapine Orap Paliperidone Pimozide Quetiapine Relprevv Risperdal Risperidone Saphris Seroquel Symbyax Thiothixene Ziprasidone Zydis Zyprexa www.goshenquickguide.com Hospital Departments/Imaging Page 6 Rev 1/2017
Nodoz Norgesic Nuvigil Orphengesic Paredrine Phentermine Phendimetrazine Pre-Sate Provigil Qsymia Ritalin Suprenza Synalgos-DC Theo-24 Theo-Dur Theophylline Tenuate Vivarin MISCELLANEOUS Buspar Rybix Ultracet Buspirone Ryzolt Ultram Conzip Tramadol These Anticoagulant medications should not be taken 3-5 days and 24 hours after Myelography. Anticoagulants Aspirin Coumadin/Warfarin Heparin Lovenox Plavix/Clopidogrel Pradaxa/Dabigatran Effient/Prasugrel Brilinta/Ticagrelor Xarelto/Rivaroxaban *any other medication containing Aspirin www.goshenquickguide.com Hospital Departments/Imaging Page 7 Rev 1/2017