Unique Plan Description: Imaging MRI Contrast Meds
Plan Selection Display: Imaging MRI Contrast Meds
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-20 15:34:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-03-28 13:04:06
Available at all facilities: No

Imaging MRI Contrast Meds
Laboratory
	Creatinine in Radiology (MH)
		T;N, Once
Medications
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	Gadavist 30 mL Bulk
		1 mL, Solution, IV Push, IN IMAGING
	Gadavist 65 mL Bulk
		1 mL, Injection, IV Push, IN IMAGING
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	sodium chloride 0.9% flush injectable soln
		10 mL, Syringe, IV Push, IN IMAGING, IV line flush
		20 mL, Syringe, IV Push, IN IMAGING, IV line flush
		30 mL, Syringe, IV Push, IN IMAGING, IV line flush
	Sodium Chloride 0.9% IV Flush
		50 mL, Injection, IV Push, IN IMAGING
		100 mL, Solution-Injection, IV Push, IN IMAGING
		60 mL, Solution-Injection, IV Push, IN IMAGING
		80 mL, Solution-Injection, IV Push, IN IMAGING
	Breeza
		500 mL, Solution-Oral, By Mouth, Q20MIN, 3 Dose(s)/Time(s)
			Comment: 500 mL Q 20min for total of 1500 mL
		1,500 mL, Solution-Oral, By Mouth, IN IMAGING
	Gadavist 7.5 mL vial
		7.5 mL, Solution-Injection, IV Push, IN IMAGING
		3 mL, Solution-Injection, IV Push, IN IMAGING
		4 mL, Solution-Injection, IV Push, IN IMAGING
		5 mL, Solution-Injection, IV Push, IN IMAGING
		6 mL, Solution-Injection, IV Push, IN IMAGING
	Gadavist 10 mL vial
		10 mL, Solution-Injection, IV Push, IN IMAGING
		8 mL, Solution-Injection, IV Push, IN IMAGING
		9 mL, Solution-Injection, IV Push, IN IMAGING
	Gadavist 15 mL vial
		15 mL, Solution-Injection, IV Push, IN IMAGING
		11 mL, Solution-Injection, IV Push, IN IMAGING
		12 mL, Solution-Injection, IV Push, IN IMAGING
		13 mL, Solution-Injection, IV Push, IN IMAGING
		14 mL, Solution-Injection, IV Push, IN IMAGING
	Eovist 181.43 mg/mL intravenous solution
		5 mL, Solution, IV Push, IN IMAGING
		6 mL, Solution, IV Push, IN IMAGING
		7 mL, Solution, IV Push, IN IMAGING
		8 mL, Solution, IV Push, IN IMAGING
		9 mL, Solution, IV Push, IN IMAGING
		10 mL, Solution, IV Push, IN IMAGING
		11 mL, Solution, IV Push, IN IMAGING
		12 mL, Solution, IV Push, IN IMAGING
		13 mL, Solution, IV Push, IN IMAGING
		14 mL, Solution, IV Push, IN IMAGING
		15 mL, Solution, IV Push, IN IMAGING
	sodium chloride bacteriostatic 0.9% injectable soln
		0.1 mL, Injection, IntraDermal, IN IMAGING
	heparin flush 100 units/mL
		500 units, IV Push, IN IMAGING, Routine
		600 units, IV Push, IN IMAGING, Routine
	lidocaine 1% injectable solution (MH/WH/FH)
		0.1 mL, IntraDermal, IN IMAGING
			Comment: For IV start
	Multihance 529mg/mL 5mL vial
		5 mL, Solution-Injection, IV Push, IN IMAGING, Routine
	Multihance 529mg/mL 15mL vial
		15 mL, Solution-Injection, IV Push, IN IMAGING, Routine
	Multihance 529mg/mL 20mL vial
		20 mL, Solution-Injection, IV Push, IN IMAGING, Routine
Patient Care

Rad Contrast Reaction IV Pre Med orders
Medications
		It is recommended to wait 4-5 hours prior to administering IV Contrast. If the exam is urgent, the wait time can be waived at the discretion of a physician after 1 hour of administering both of the pre-medications.(NOTE)*
	Decadron injectable
		7.5 mg, Injection, IV PUSH, Once
			Comment: 4-5 hours prior to exam.
	Benadryl
		50 mg, Injection, IV Push, Once
			Comment: 1 hour prior to exam.   IV contrast can be administered after 1 hour of premedication.
	SOLU-Medrol
		40 mg, Injection, IV PUSH, Once
			Comment: Alternative to Decadron.  4-5 hours prior to exam.
Patient Care
	Fall Precautions
		T;N
			Comment: Use fall precaution protocol for 6 hours after Diphenhydramine given

Rad Post Glucophage
	Notify MD
		T;N, Call attending: pt on a brand of metformin and has received iodinated contrast placing pt at risk of lactic acidosis.
	Patient Education
		Instructions: Provide patient with printed handout information sheet with date/time to restart metformin containing medications.
Consults/Follow-up
	Pharmacy Consult
		T;N, Patient is on a brand of metformin, and has received iodinated contrast.  Please check that medications have been discontinued
			Comment: Patient is on a brand of metformin, and has received iodinated contrast.  Please check that medications have been discontinued

Rad Contrast Reaction Oral Pre Med orders
Medications
	predniSONE
		50 mg, Tab, By Mouth, Once
			Comment: 13 hours before contrast
		50 mg, Tab, By Mouth, Once
			Comment: 7 hours before contrast
		50 mg, Tab, By Mouth, Once
			Comment: 1 hour before contrast
		For JE patients, preferred medication is Benadryl:(NOTE)*
	Benadryl
		50 mg, Capsule, BY MOUTH, Once
			Comment: 1 hour before contrast.
		For FH/MH/WH patients, preferred medication is Claritin:(NOTE)*
	Claritin
		10 mg, Tab, By Mouth, Once
			Comment: 1 hour before contrast
	Medrol
		32 mg, Tab, BY MOUTH, Once
			Comment: 12 hours before contrast administration
		32 mg, Tab, BY MOUTH, Once
			Comment: 2 hours before contrast administration
	predniSONE 50 mg oral tablet
		See instructions, Take 1 tab by mouth 13 hours, 7 hours and 1 hour before radiology exam with contrast., # 3 TAB, 0 Refill(s)
	Claritin 10 mg oral tablet
		See instructions, Take 1 tab, BY MOUTH 1 hour before radiology exam with contrast., # 1 TAB, 0 Refill(s)
	methylPREDNISolone 32 mg oral tablet
		See instructions, Take 1 tab by mouth 12 hours and 2 hours before radiology exam with contrast., # 2 TAB, 0 Refill(s)

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase