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UCLA Nuclear Medicine Clinic RAI therapy for Recurrent Thyroid CancerWorksheet for consult and assessmentPatient ___ MRN ___ Phone ___Referring physician ___Surgery ___ Pathology ___ MACIS ___ Link
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How to fill out radioactive iodine i-131 for

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Consult with a healthcare provider to determine if radioactive iodine i-131 treatment is appropriate for your condition.
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Follow all instructions provided by the healthcare provider for preparing and taking the radioactive iodine i-131.
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Avoid contact with others and follow radiation safety guidelines during and after treatment with radioactive iodine i-131.
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Stay hydrated by drinking plenty of water to help flush the radioactive iodine from your system.

Who needs radioactive iodine i-131 for?

01
Patients with thyroid cancer may need radioactive iodine i-131 treatment after surgery to destroy any remaining cancer cells.
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Individuals with hyperthyroidism, a condition where the thyroid gland is overactive, may benefit from treatment with radioactive iodine i-131 to reduce thyroid hormone levels.

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Radioactive iodine I-131 is primarily used in the treatment of thyroid cancer and hyperthyroidism. It works by accumulating in the thyroid gland and emitting radiation that destroys thyroid tissue.
Patients undergoing treatment with radioactive iodine I-131, healthcare providers administering the treatment, and facilities involved in the disposal of radioactive materials are typically required to file related documentation.
Filling out the radioactive iodine I-131 form generally requires providing patient information, details about the treatment administered, dosage, date of administration, and ensuring compliance with local regulations and guidelines.
The purpose of radioactive iodine I-131 is to treat conditions associated with the thyroid gland, such as thyroid cancer and hyperthyroidism, by selectively targeting thyroid cells.
The report must include patient identification, the purpose of administration, dosage given, date of treatment, facility information, and any adverse reactions observed.
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