Microsoft word - preparing for a procedure1.doc

2009-2010 Lanier Interventional Pain Center, all rights reserved | 2335 Limestone Overlook | Gainesville, GA 30501 CONTACT: Phone - 770.297.0356 FAX - 770.297.7564 PREPARING FOR A PROCEDURE

In preparing for your procedure we ask that you follow a few simple rules:
PLEASE DO NOT EAT any solid food or drink any non-approved liquids within 8 hours of your
procedure time.
Please take your regular medicines on the day of the procedure with the exception of insulin. We have
specific instructions for diabetics on insulin. See below.
Potent platelet inhibiting drugs (e.g. Plavix; Ticlid) and/or Coumadin (Warfarin) must be stopped prior to epidural injections. See below.
Our “official procedure” instruction sheet is below.
**All patients are required to have a driver to take them home.**

OK to eat/drink the following:
All solids up to 8 hours prior to procedure
Clear liquids up to 4 hours prior to procedure
Clear Liquids that ARE approved:
1. Black coffee (no creamers of any kind or milk; sugar OK)
2. Juices - apple, grape, cranberry. No pulp of any kind allowed.
3. Water
Diabetics on Insulin

1. A.M. appointments: Take 1/2 your dosage of insulin and drink clear liquid.
2. P.M. appointments: Take a full dosage of insulin, drink clear liquid; may eat Breakfast before 8A.M.
3. Take all your regular oral (by mouth) medications, especially your blood pressure medicines on the day of

ANTICOAGULANT (“blood thinner”) policy:

•
You MUST check with your primary care physician and/or cardiologist to confirm that you can
temporarily discontinue your blood thinning medicine around the time of an epidural
injection(s).
NSAIDs/ASA/"Arthritis Medicines" - e.g. aspirin; Celebrex (celecoxib); Motrin (ibuprofen);
Aleve (naproxen); Mobic (meloxicam), etc. - NO restrictions.
NOTE: If patient is also taking one of the drugs listed below - stop NSAIDs 7 days prior to procedure
Coumadin - stop 7 days prior to procedure
Plavix (clopidogrel) - 7 days prior to procedure
Ticlid (Ticlopidine) - 14 days prior to procedure
Enoxaparin sodium (Lovenox) –
► dosage regimen 30mg SC q 12h or up to 40 mg SC once daily: last dose 12 hours prior to injection;
first post-injection dose 12 hours after injection ► higher dosage regimens (i.e. 1.5 mg/kg SC once daily or 1 mg/kg SC twice daily): last dose 24 hours prior to injection; first post-injection dose 24 hours after injection Platelet GP IIb/IIIa receptor antagonists, including abciximab (Reopro), eptifibatide (Integrilin),
and tirofiban (Aggrastat) - 48 hours prior to procedure

Source: http://www.lanierpain.com/PREPARING_FOR_A_PROCEDURE.pdf