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 »coagulation guidelines for IR and CT invasive procedures
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 »Adrenal vein sampling protocol
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 »Benign Bile duct stricture treatment
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 »Procedural antibiotics protocol
Treatment of a benign ureteral stricture can be performed through the following protocol.
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 »Acute Sepsis protocol
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 »GI bleed treatment imaging and embolization protocol
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 »Billiary Whitaker Pressure test to assess for bile duct or ureteral obstruction
Type of images obtained in IR. Digital Subtraction Agiography (DSA), and spot fluoro, etc. 2. Phase of contrast injection depends on timing of imaging. phases are generally classified as arterial, delayed, venous, dynamic, portal venousphase… Read More »Fundamentals in Interventional Radiology
What are Lymph nodes & Swollen lymph nodes? Lymph nodes are small bean shaped structures (of which there are hundreds through the body) which are connected to one another to form what is called… Read More »Lymph nodes & Swollen lymph nodes