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For the following procedures, NO lab values are needed Paracentesis, if patient is NOT on Coumadin Superficial aspiration/abscess//biopsy IVC filter Placement Tube check/change (biliary/nephrostomy/G or GJ tubes) Vascath placement Central line placement Peripheral PICC placement…
Read More →Adrenal Venous Sampling for the Diagnosis of Hyperaldosteronism Vascular and Interventional Radiology Notify the /mmunology lab that we will be bringing blood samples for in about 1-2 hours. Start Cosyntropin infusion at 40ug, (0.04mg)/hr, 30…
Read More →Day #1 PTC with 8 fr or 10 fr PBD Admit Day #2-3 Biliary tube upsize to 12 fr discharge home if stable Week #3-4 biliary tube upsize to 14 fr Bentec 1-2 weeks w/possible…
Read More →Procedure First choice Alternate Allergic Alternate Biliary Drainage Zosyn 4.5 gm IVPB Unasyn 3 gm IVP PCN allergy: Clinamycin 600mg IVPB Aztreonam 1gm IVPB Percutaneous cholangiogram Zosyn 4.5 gm IVPB Liver Biopsy in transplant Zosyn…
Read More →Treatment of a benign ureteral stricture can be performed through the following protocol.
Read More →ACUTE ONSET SEPSIS PROTOCOL Patients who undergo certain procedures are at an increased risk for sepsis. Some interventional procedures such as biliary tube (PTC) and nephrostomy tube (PCN) procedures have a higher propensity to experience…
Read More →KEY: Acute GIB = Acute GastroIntestinal Bleed UGIB = Upper GastroIntestinal Bleed NG Lavage = Nasogastric tube lavage (Injecting fluid and aspirating it back from a nasogastric tube will return blood if the bleeding is…
Read More →Assess a bile duct stricture or ureteral stricture Whitaker test allows for an objective measurement of ureteral or bile duct obstruction. The procedure is performed by injecting the bile ducts (Biliary drain) or nephrostomy tube…
Read More →What is a PICC line? – A safe alternative to traditional intravenous vascular access A peripherally inserted central venous catheter ( PICC or PIC line), less commonly referred to as a percutaneous indwelling central catheter,…
Read More →Procedures: Cholangiogram through existing catheter Biliary covered metallic stent placement Biliary catheter replacement Indication: Pancreatic cancer and biliary obstruction Date: Operators: Medications: mg IV Versed, mcg IV fentanyl and 3.375…
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