[Date Prev][Date Next][Thread Prev][Thread Next][Date Index][Thread Index]

Re: I-131 release program, ICALC -Reply



>References: <s58f5aa3.057@queens.org>
>Date:         Tue, 23 Jun 1998 22:04:56 -0600
>Reply-To: gaw@usa.net
>Sender: Medical Physics Listserver <medphys@cwis-20.wayne.edu>
>From: Jerry White <gaw@USA.NET>
>Organization: Colorado Associates in Medical Physics
>Subject:      Re: I-131 release program, ICALC -Reply
>To: MEDPHYS@LISTS.WAYNE.EDU
>
>Scott--
>
>Looks to me as though Reg Guide 8.39 section C.1.3 requires a calculation for
>patients with greater than 33 mCi I-131.
>
>Not So?
>
>Jerry White
>gaw@usa.net
>
>SCOTT DUBE wrote:
>
>> Maybe I'm missing something, but I don't understand why there needs to
>> be a patient specific calculation performed for outpatient I-131 therapies
>> under 200 mCi.  We have established a standard set of instructions for
>> the patient (see below).  They must sign an agreement to obey these
>> instructions.  Would we need to also do a calculation of anticipated
>> exposures to others?
>>
>> >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>
>> GENERAL SAFETY GUIDE FOR HOME CARE
>> FOLLOWING IODINE-131 THERAPY
>>
>> The dose of radioactive iodine-131 that you have received is beneficial to
>> your health.  At the same time, it is important to minimize the radiation
>> exposure to other individuals.  The following guidelines are necessary to
>> keep radiation exposure to others as low as possible:
>>
>> During the first four days following administration, the majority of
>> radioactive iodine-131 will be eliminated from your body through urine.  In
>> addition, a small portion will be found in your saliva and perspiration.
>> Therefore:
>>
>> 1.  Wash cups, plates, and eating utensils immediately after use.
>> 2.  Do not kiss anybody.
>> 3.  Use individual towels and washcloths.
>> 4.  You must sleep in a separate bed during this period.
>> 5.  Wash your clothing, towels, and bedlinens separately from those
>>      used by other members of your houshold.
>> 6.  Avoid contact with infants and pregnant women.
>> 7.  Keep a distance of six feet or more from other people, except for
>>      brief periods of contact.
>> 8.  Do not use mass transit (bus, boat, plane).
>> 9.  Avoid sharing a bathroom with anyone else.  Public restrooms are to
>>      be used only in an emergency.
>> 10.  Avoid contaminating any surface with urine.
>> 11.  Any vomitus should be disposed into the toilet.
>>
>> During the next four days, certain tissues in your body will likely
>> contain significant levels of radioactive iodine-131.  Therefore:
>>
>> 1.  Avoid sitting within one foot of others for prolonged periods
>>      (e.g. crowded movie theater, church)
>> 2.  Avoid holding infants or young children for long periods each day.
>>
>> Regarding sexual relations, it is advisable to:
>>
>> 1.  Refrain from sexual intimacy for fourteen days.
>> 2.  Avoid pregnancy for sixty days.
>>
>> If you have any questions regarding these precautions, please call the
>> Radiation Safety Officer.  His name is Scott Dube, and he can be
>> reached at 547-4884.
>>
>>                     *****
>> Frequently Asked Questions (FAQ) for Medphys at:
>> http://www.mindspring.com/~sherouse/MPFAQ/
>>
>> Archives of recent Medphys postings at:
>> http://www.escribe.com/medicine/medphys/
>
>                    *****
>Frequently Asked Questions (FAQ) for Medphys at:
>http://www.mindspring.com/~sherouse/MPFAQ/
>
>Archives of recent Medphys postings at:
>http://www.escribe.com/medicine/medphys/
>