The Infectious Disease Society of America has published the 2013 IDSA Clinical Practice Guideline for Vaccination of the Immunocompromised Host
Past information such as immunizations, implants, procedures can be found in the patient profile.
Patient profile can be accessed through the reports tab.
Now select “Patient Profile” from the drop down menu.
Select immunization from the list.
- The vaccine, dose and administration date should be available.
The ACR Manual on Contrast Media  recommends the following options for premedication in the acute setting in patients undergoing planned contrast enhanced imaging procedure (e.g. CT Pulmonary Angiogram). Options #1 or #2 should be used in all Emergency Department situations unless there is an extreme urgency.
IV steroids have not been shown to be effective when administered less than 4 to 6 hours prior to contrast injection
In Decreasing Order of Desirability
- Methylprednisolone sodium succinate (Solu-Medrol®) 200 mg intravenously every 4 hours (q4h) until contrast study required plus diphenhydramine 50 mg IV 1 hour prior to contrast injection .
- Dexamethasone sodium sulfate (Decadron®) 7.5 mg or betamethasone 6.0 mg intravenously q4h until contrast study must be done in patent with known allergy to methylpred-nisolone, aspirin, or non-steroidal anti-inflammatory drugs, especially if asthmatic. Also diphenhydramine 50 mg IV 1hour prior to contrast injection.
- Omit steroids entirely and give diphenhydramine 50 mg IV.
The printing button on the med recs now works. Please do print your copy of the discharge med rec for your office records.
Patient loyalty is not gained by delivering “core services” but by receiving service above expectations