Unique Plan Description: Rad Onc CT Contrast Meds
Plan Selection Display: Rad Onc CT Contrast Meds
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2017-09-01 11:58:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-12-22 08:21:50
Available at all facilities: No

Rad Onc CT Contrast Meds
Laboratory
	Creatinine in Radiology (MH)
		T;N, Once
Medications
	sodium chloride 0.9% Flush (In Office)
		10 mL, Syringe, IV Push, IN IMAGING, T;N
	Sodium Chloride 0.9% (In Office)
		100 mL, Injection, IV Push, IN IMAGING, T;N
	Omnipaque 350mg/mL 50mL vial  (In Office)
		50 mL, Injection, IV Push, IN IMAGING, T;N
			Comment: Retrograde urethrogram/bladder
	Omnipaque 350mg/mL 100mL vial (In Office)
		100 mL, Injection, IV Push, IN IMAGING, T;N
		50 mL, Injection, IV Push, IN IMAGING, T;N
		60 mL, Injection, IV Push, IN IMAGING, T;N
		70 mL, Injection, IV Push, IN IMAGING, T;N
	Visipaque 320 mg/mL 100mL vial  (In Office)
		100 mL, Injection, IV Push, IN IMAGING, T;N
		50 mL, Injection, IV Push, IN IMAGING, T;N
		60 mL, Injection, IV Push, IN IMAGING, T;N
		70 mL, Injection, IV Push, IN IMAGING, T;N
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

*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