Medication Implications To Pet

Front 1

ACE Inhibitors Examples

Back 1

Captopril, Enalapril, Lisinopril, Monopril

Front 2

ACE Inhibitors Implications

Back 2

Possible orthostatic hypotension

Front 3

Aceylsalicyclic Acid Examples & Implications

Back 3

Aspirin
Bleeding, patient could be taking it due to inflammation/infection

Front 4

Adenosine Implications

Back 4

Do not stress with adenosine for cardiac tests

Counter drugs: Methylxanthines (caffeine & theophylline)

Front 5

Bronchodialators Examples

Back 5

Aminophylline
Theophylline

Front 6

Bronchodialators Implications

Back 6

Treat patient with airway blockages, means patient might have problems with stress agents

Front 7

Analgesics Examples

Back 7

Aspirin, acetaminophen, ibuprofen, naproxen, meperidine, methylmorphine, morphine sulfate, hydromorphone HCL, fentanyl

Front 8

Analgesics Implications

Back 8

Make sure patient is comfortable & has their latest dose of pain killer prior to injection
Narcotic pain killers may not be available at site so be sure to instruct patient to bring their own meds if they have them

Front 9

Anticoagulants Examples

Back 9

Heparin
Warfarin (Coumadin)

Front 10

Anticoagulants Implications

Back 10

BLEEDING
Patient may come with lab orders for PT & PTT which can be drawn prior to injection

Front 11

Antiemetics Examples

Back 11

Promethazine (Phenergan)
Metoclopramide (Reglan)
Ondansetron (Zofran)

Front 12

Antiemetics Implications

Back 12

Can cause slow bowel processes
Patient may have constipation
Some make the patient very tired
Help a lot with N&V

Front 13

Benzadiazapines Examples

Back 13

Alprazolam (Xanax)
Diazepam (Valium)
Lorazepam (Ativan)
Clonazepam (Klonopin)
Zolpidem (Ambien)

Front 14

Benzadiazapines Implications

Back 14

Cause patient to be sluggish & very sleepy
Care should be taken when walking
30 min-1hr to take effect

Front 15

Beta-blockers

Back 15

Propanolol
Metoprolol
Atenolol

Front 16

Beta-blockers Implications

Back 16

Keeps heart rate down, exercise stress & dobutamine stress should be avoided

Front 17

Calcium channel blockers

Back 17

Verapamil
Nifedipine (Procardia)
Amlodipine (Norvasc)

Front 18

Calcium Channel blockers Implications

Back 18

Avoid exercise & dobutamine stress

Front 19

Statins

Back 19

Atorvastatin (Lipitor)
Simvastatin (Zocor)

No effect for PET

Front 20

Glucocorticoid Steroids

Back 20

Dexamethasone

Front 21

Glucocorticoid Steroids Implications

Back 21

If elevated blood sugars & on these, DO NOT INJECT FDG, reschedule & have them off these meds

Suppress inflammation & can elevate blood glucose level (sometimes drastically)

Front 22

Diabetic oral medications (some examples)

Back 22

Metformin (glucophage, liquid/Riomet)
Glimepiride (Amaryl)
Glyburide (Diabeta, Micronase)
Glipizide (Glucotrol)
Pioglitazone (Actos)
Janumet
Januvia

Front 23

Diabetic oral medications implications

Back 23

Patient should not take these atleast 4-6 hours prior to FDG injections

Metformin can have serious adverse effects with contrast media, patient should not take for 48 hours post contrast CT

Front 24

Diabetic Insulin Medications (Rapid Acting)

Back 24

Act within 3-5 hours
Lispro (Humalog)
Aspart (Novolog)
Glulisine (Apidra)

Front 25

Diabetic Insulin Medications (Short Acting)

Back 25

Act up to 12 hours
Regular insulin (Clear insulin)

Front 26

Diabetic Insulin Medications (Intermediate)

Back 26

Act up to 24 hours
NPH

Front 27

Diabetic Insulin Medications (Long Acting)

Back 27

Act 24+ hours
Glargine (Lantus)
Detemir (Levemir)

Front 28

Diabetic Insulin Medications Implications

Back 28

Patient should be off these for FDG injections dependent upon type of insulin (short, intermediate, long, etc.)

Make sure patient know to take insulin with food!

Front 29

Diuretics

Back 29

Furosemide (Lasix)

Patient should void prior to injection & then again prior to scan to minimize movement