i-131 treatment (counsleing )
TRANSCRIPT
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Counseling
Done by: Fatma Al Gafri
Sr. Medical Physicist
Royal Hospital
Sultanate of Oman
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Thyroid Gland The thyroid is a gland of the endocrine
(secrete hormones directly into the blood without channel).
There is a small gland at the front of the neck surrounding the larynx and trachea.
Pass from behind the thyroid nerve which is very important responsible for the movement of the vocal cords in the larynx, so one injury in the thyroid gland eradication process may lead to a severe change in sound and wounding both may lead to an inability to speak.
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Disease of Thyroid Gland
االورام النشاط قصور
النشاط فرط
ThyrotoxicTumor Hypothyroidism
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Symptoms of hyperthyroidism hyperthyroid
Fatigue and difficulty sleeping
Lost weight
sweating
Pain and weakness of the
joints
Nervous and
aggressive
Quivering
Diarrhea
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Before treatment Thyrotoxic
• Stop Carbimazol ( 3 days before treatment) • Low iodine diet ( 2 weeks before treatment).• Stop doing CT scan ( 2 month before treatment).• For women's:
– Should not be pregnant. – Stop breast feeding before treatment
( 2 months before treatments )
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Low Iodine Diet
Allowed
• Fruits & vegetables• Food without salt• White part of eggs• Nuts ( beans)
Not Allowed
• Sea Food• Iodized Salt• Milk + yogurt + cheese• yolk• pickle• Medications that contain
iodine• Herbal Remedies + henna
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During radioiodine therapy Thyrotoxic
Blood Test)Sunday (
I-131 Capsule555 MBq
)Monday (
No body Scan
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I-131 Capsule
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After treatment1. On the way back to the house you should sit in
the back seat (on the right).2. Use the special dishes and spoons or plastic
dishes you can get rid of them after a meal.3. Drink water frequently and eat sweets and acidic
juices.4. sleep alone in bed and avoid personal contact.5. Avoid going to crowded places for a long time
(banquets, weddings, markets and cinema).6. On breastfeeding women stop breastfeeding
categorically to this child.7. Bathed daily (at least twice) and wash your
hands frequently.8. Use a private toilet and drag Siphon more than
once and no pollution ground water cycle with criticism and others.
9. Wash your clothes individually.10. Do Not approach the children and pregnant
women.11. Obligatory for men and women healers
radioactive iodine use of contraceptives for 6 months after taking the dose.
![Page 10: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/10.jpg)
THANK YOU!شكرا
إلستماعكمBack to main slide
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Symptoms of hypothyroidism Activity
Back to main slide
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THANK YOU!شكرا
إلستماعكمBack to main slide
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Thyroid Gland Tumor
Therapy
Stop ThyroxinOn Thyrogen
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Diagnostic
• Using Dose of 185 MBq.
Back
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Therapy
• Using Dose of:– 3.7 GBq– 5.5 GBq– 7.4 GBq
Back
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Before treatment off thyroxin
• Thyroxin pills stop for 3-4 weeks before treatment
• Commitment to low iodine diet for two weeks before treatment
• Refraining from doing tests include colored material (X-ray computed tomography: colored rays of the arteries) for two months before treatment.
• For women:– Women must not be pregnant.– stop breastfeeding a month ago or two months of treatment
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Low Iodine Diet
Allowed
• Fruits & vegetables• Food without salt• White part of eggs• Nuts ( beans)
Not Allowed
• Sea Food• Iodized Salt• Milk + yogurt + cheese• yolk• pickle• Medications that contain
iodine• Herbal Remedies + henna
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During the diagnostic treatment with radioactive iodine
off thyroxin
Blood Test)Sunday (
I-131 Capsule)Monday (
Whole Body Scan
)Thursday ± Sunday(
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I-131 Capsule
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Whole Body Scan
On the day of discharge from hospital will be subjected to a body imaging in nuclear medicine department to take Gamma-ray images of the body from different angles.
May be notified of the need to take additional pictures of the rays on another day.
After you leave the hospital you will be given some instructions that must be adhered at least within 7 days after departure.
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After treatment1. On the way back to the house you should sit in
the back seat (on the right).2. Use the special dishes and spoons or plastic
dishes you can get rid of them after a meal.3. Drink water frequently and eat sweets and acidic
juices.4. sleep alone in bed and avoid personal contact.5. Avoid going to crowded places for a long time
(banquets, weddings, markets and cinema).6. On breastfeeding women stop breastfeeding
categorically to this child.7. Bathed daily (at least twice) and wash your
hands frequently.8. Use a private toilet and drag Siphon more than
once and no pollution ground water cycle with criticism and others.
9. Wash your clothes individually.10. Do Not approach the children and pregnant
women.11. Obligatory for men and women healers
radioactive iodine use of contraceptives for 6 months after taking the dose.
![Page 22: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/22.jpg)
THANK YOU!شكرا
إلستماعكمBack to main slide
![Page 23: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/23.jpg)
Before diagnostic treatment with radioactive iodine
on Thyrogen
• Commitment to low iodine diet for two weeks before treatment
• Refraining from doing tests include colored material (computed tomography or colored rays of the arteries) for two months before treatment.
• For women:– Women must not be pregnant.– women stop breastfeeding a month ago or two
months of treatment
![Page 24: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/24.jpg)
Low Iodine Diet
Allowed
• Fruits & vegetables• Food without salt• White part of eggs• Nuts ( beans)
Not Allowed
• Sea Food• Iodized Salt• Milk + yogurt + cheese• yolk• pickle• Medications that contain
iodine• Herbal Remedies + henna
![Page 25: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/25.jpg)
Through treatment on thyrogen
Blood Test + first Thyrogen injection
)Sundayا(
Second Thyrogen injection
)Monday(
Blood Test + I-131 Capsule
)Thusday(
Whole Body Scan
)Thursday + Sunday(
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I-131 Capsule
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Whole Body Scan
On the day of discharge from hospital will be subjected to a body imaging in nuclear medicine department to take X-ray images of the body from different angles.
May be notified of the need to take additional pictures of the rays on another day.
After you leave the hospital you will be given some instructions that must be adhered at least within 7 days after departure.
![Page 28: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/28.jpg)
After treatment1. On the way back to the house you should sit in
the back seat (on the right).2. Use the special dishes and spoons or plastic
dishes you can get rid of them after a meal.3. Drink water frequently and eat sweets and acidic
juices.4. sleep alone in bed and avoid personal contact.5. Avoid going to crowded places for a long time
(banquets, weddings, markets and cinema).6. On breastfeeding women stop breastfeeding
categorically to this child.7. Bathed daily (at least twice) and wash your
hands frequently.8. Use a private toilet and drag Siphon more than
once and no pollution ground water cycle with criticism and others.
9. Wash your clothes individually.10. Do Not approach the children and pregnant
women.11. Obligatory for men and women healers
radioactive iodine use of contraceptives for 6 months after taking the dose.
![Page 29: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/29.jpg)
THANK YOU!شكرا
إلستماعكمBack to main slide
![Page 30: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/30.jpg)
Before radioactive iodine treatment
off thyroxin• Thyroxine pills stop for 3-4 weeks before
treatment• Commitment to low iodine diet for two weeks
before treatment.• Refraining from doing tests include colored
material (X-ray computed tomography: colored rays of the arteries) for two months before treatment.
• For women:– Women must not be pregnant.– stop breastfeeding a month ago or two months of
treatment
![Page 31: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/31.jpg)
Low Iodine Diet
Allowed
• Fruits & vegetables• Food without salt• White part of eggs• Nuts ( beans)
Not Allowed
• Sea Food• Iodized Salt• Milk + yogurt + cheese• yolk• pickle• Medications that contain
iodine• Herbal Remedies + henna
![Page 32: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/32.jpg)
During the diagnostic treatment with radioactive iodine
off thyroxin
Blood Test)Sunday (
I-131 Capsule + Administration
)Monday (
Whole Body Scan
)Thursday ± Sunday (
![Page 33: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/33.jpg)
I-131 Capsule
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isolation room
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Not Allowed• No visitors are allowed to enter the patient's room (young
or old).• Please do not spit or vomit on the floor of the room
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isolation room
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• Red clothes• Black foods• Yellow stationery materials
+ medical waste
waste
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Tools that can be brought to the patient isolation room
• And bring a toothbrush and enough toothpaste hair comb. You should throw it in the allocated bags after treatment.
• Bring slippers for wearing in the isolation room only and then throw it in the allocated bags.
• You will have the hospital clothes and towels, but if you want to use your own clothes, you can do so. Note that you can not remove them from the isolation room. (For women: Bring the head cover (Alliso)).
• Fetch sour candy that sucks during your stay to help the secretion of saliva and disposal of radiation in a shorter period.
• Bring water and juices sour.• TV and landline phone functions that are involved in the isolation room.• If you bring your mobile phone and Laptop and iPad will need to wear gloves or
put them in a plastic bag during use.
![Page 39: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/39.jpg)
During treatment in an isolation room
• Eat a light breakfast at 6:00 and then stopped eating and drinking.
• Taking a pill to avoid nausea, half an hour before the treatment.
• Physicist will give you a radioactive capsule under the supervision of a doctor.
• Do not eat any food after swallowing the capsule for two hours.
• Drink plenty of fluids and acidic juices.• Bathing twice a day at least twice and pull the toilet after
each use.
![Page 40: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/40.jpg)
Whole Body Scan
On the day of discharge from hospital will be subjected to a body imaging in nuclear medicine department to take X-ray images of the body from different angles.
May be notified of the need to take additional pictures of the rays on another day.
After you leave the hospital you will be given some instructions that must be adhered at least within 7 days after departure.
![Page 41: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/41.jpg)
After treatment1. On the way back to the house you should sit in
the back seat (on the right).2. Use the special dishes and spoons or plastic
dishes you can get rid of them after a meal.3. Drink water frequently and eat sweets and acidic
juices.4. sleep alone in bed and avoid personal contact.5. Avoid going to crowded places for a long time
(banquets, weddings, markets and cinema).6. On breastfeeding women stop breastfeeding
categorically to this child.7. Bathed daily (at least twice) and wash your
hands frequently.8. Use a private toilet and drag Siphon more than
once and no pollution ground water cycle with criticism and others.
9. Wash your clothes individually.10. Do Not approach the children and pregnant
women.11. Obligatory for men and women healers
radioactive iodine use of contraceptives for 6 months after taking the dose.
![Page 42: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/42.jpg)
THANK YOU!شكرا
إلستماعكمBack to main slide
![Page 43: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/43.jpg)
Before diagnostic treatment with radioactive iodine
on Thyrogen
• Commitment to low iodine diet for two weeks before treatment
• Refraining from doing tests include colored material (computed tomography or colored rays of the arteries) for two months before treatment.
• For women:– Women must not be pregnant.– women stop breastfeeding a month ago or two
months of treatment
![Page 44: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/44.jpg)
Low Iodine Diet
Allowed
• Fruits & vegetables• Food without salt• White part of eggs• Nuts ( beans)
Not Allowed
• Sea Food• Iodized Salt• Milk + yogurt + cheese• yolk• pickle• Medications that contain
iodine• Herbal Remedies + henna
![Page 45: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/45.jpg)
Through treatment on thyrogen
Blood Test + first Thyrogen injection
)Sunday(
Second Thyrogen injection
)Monday(
Blood Test + I-131 Capsule + Administration
)Tusday(
Whole Body Scan
)Thursday + Sunday(
![Page 46: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/46.jpg)
I-131 Capsule
![Page 47: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/47.jpg)
isolation room
![Page 48: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/48.jpg)
Not Allowed• No visitors are allowed to enter the patient's room (young
or old).• Please do not spit or vomit on the floor of the room
![Page 49: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/49.jpg)
isolation room
![Page 50: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/50.jpg)
• Red clothes• Black foods• Yellow stationery materials
+ medical waste
waste
![Page 51: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/51.jpg)
Tools that can be brought to the patient isolation room
• And bring a toothbrush and enough toothpaste hair comb. You should throw it in the allocated bags after treatment.
• Bring slippers for wearing in the isolation room only and then throw it in the allocated bags.
• You will have the hospital clothes and towels, but if you want to use your own clothes, you can do so. Note that you can not remove them from the isolation room. (For women: Bring the head cover (Alliso)).
• Fetch sour candy that sucks during your stay to help the secretion of saliva and disposal of radiation in a shorter period.
• Bring water and juices sour.• TV and landline phone functions that are involved in the isolation room.• If you bring your mobile phone and Laptop and iPad will need to wear gloves or
put them in a plastic bag during use.
![Page 52: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/52.jpg)
During treatment in an isolation room
• Eat a light breakfast at 6:00 and then stopped eating and drinking.
• Taking a pill to avoid nausea, half an hour before the treatment.
• Physicist will give you a radioactive capsule under the supervision of a doctor.
• Do not eat any food after swallowing the capsule for two hours.
• Drink plenty of fluids and acidic juices.• Bathing twice a day at least twice and pull the toilet after
each use.
![Page 53: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/53.jpg)
Whole Body Scan
On the day of discharge from hospital will be subjected to a body imaging in nuclear medicine department to take X-ray images of the body from different angles.
May be notified of the need to take additional pictures of the rays on another day.
After you leave the hospital you will be given some instructions that must be adhered at least within 7 days after departure.
![Page 54: I-131 treatment (Counsleing )](https://reader036.vdocument.in/reader036/viewer/2022062320/55c3c2ebbb61ebd2048b47a1/html5/thumbnails/54.jpg)
After treatment1. On the way back to the house you should sit in
the back seat (on the right).2. Use the special dishes and spoons or plastic
dishes you can get rid of them after a meal.3. Drink water frequently and eat sweets and acidic
juices.4. sleep alone in bed and avoid personal contact.5. Avoid going to crowded places for a long time
(banquets, weddings, markets and cinema).6. On breastfeeding women stop breastfeeding
categorically to this child.7. Bathed daily (at least twice) and wash your
hands frequently.8. Use a private toilet and drag Siphon more than
once and no pollution ground water cycle with criticism and others.
9. Wash your clothes individually.10. Do Not approach the children and pregnant
women.11. Obligatory for men and women healers
radioactive iodine use of contraceptives for 6 months after taking the dose.