We had no problem with FA's and dialysis in Pgh, but we always did them in the morning before dialysis. The fluorescein was flushed during dialysis minimizing the time in the system and how long the patient was walking around yellow.
Joe On 1/4/2012 2:50 PM, CPMC Ophthalmic Diagnostic Center wrote:
I could probably get my hands on supportive literature. Here's what I can offer:Have reviewed this issue with my Risk Management team and Nephrology Unit directors. They see no contraindication for Sodium Fluorescein and kidney function.The codicil here is never inject into the shunt, schedule the procedure on the upswing of dialysis. Remember, these patient's don't urinate. They do not pass the Sodium FA out of their systems. You want to time the procedure on the day they are having dialysis to cleanse it out of their systems. Also, these subset of patient's are generally on very strict fluid ingestion restrictions. Even 2cc's cuts into their allowances sometimes.Denice */Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS/* /Ophthalmic Diagnostic Center/ /CPMC Department of Ophthalmology/ /2100 Webster Street Suite 212/// /San Francisco CA 94115/ /(415) 600-3937 FAX (415) 600-6563/*From:*optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] *On Behalf Of *Ethan Priel*Sent:* Wednesday, January 04, 2012 6:08 AM *To:* optimal@xxxxxxxxxxxxx *Subject:* [optimal] IVFA and dialysis Greetings,Anyone have / come across any guidelines regarding the temporal relation between the injection of IV Fluorescein sodium and undergoing dialysis ?Thanks, Ethan
-- Joe Warnicki J-WAR Systems Inc. 700 Carla Drive Pittsburgh, PA warnickij@xxxxxxxxxxxxx ph 412-517-8792 cell 412-327-6042
