Nuclear Medicine Patient Preps

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					Nuclear Medicine Patient Preps


Nuclear Medicine       For all Nuclear studies, all female patient cannot be
Exam                   pregnant or breastfeeding unless emergent study. The
                       patient needs to bring a list of current medications taken.
                       This medication list should include the name of the
                       medication, dosage, and how often this medication is
                       taken.

                       All claustrophobic patients should tell the scheduler or the
                       Nuclear Tech about their claustrophobia so that special
                       arrangements can be made, if necessary. (Not all exams
                       “bother” the claustrophobic patient.) The claustrophobic
                       patient needs to speak to his or her ordering physician to
                       see if he/she needs to be pre-medicated to reduce anxiety
                       prior to a Nuclear exam being performed.

                       If the patient has any questions regarding these exams,
                       the patient is encouraged to call 598-1280 and ask to
                       speak with a Nuclear Medicine Technologist.
                       Patient Prep
Bone Scan              The patient needs to bring a list of current medications
                       taken. This medication list should include the name of the
                       medication, dosage, and how often this medication is
                       taken. There is no prep for this exam. The patient will
                       need to arrive at the hospital for this exam 30 minutes
                       prior to the scheduled exam time to register at the
                       Registration Desk. The patient needs to bring the
                       Physician’s written order with him to his appointment. The
                       patient will be called to the Nuclear Medicine Department
                       to receive an injection for this exam and instructed to
                       return to the hospital 2-4 hours after the injection for
                       images to be obtained. (Some special exams require
                       images to be obtained immediately after the injection.)
                       The patient will be encouraged to drink water during the 2-
                       4 hour wait time, and the patient may eat during this wait
                       time. When the patient arrives back at the hospital for the
                       delayed imaging portion of this exam, the patient will be
                       instructed to check in at the Radiology Department. The
                       imaging portion of this exam takes approximately 30
                       minutes to 1 hour.
Gallbladder Imaging    The patient needs to bring a list of current medications
(Also called           taken. This medication list should include the name of the
hepatobiliary Scan,    medication, dosage, and how often this medication is
Pipida Scan, GB        taken. The patient will need to arrive at the hospital for
Ejection Fraction)     this exam 30 minutes prior to the scheduled exam time to
                       register at the Registration Desk. The patient needs to
                       bring the Physician’s written order with him to his


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Nuclear Medicine Patient Preps


                       appointment. The patient must be NPO (nothing by mouth
                       (no eating, no drinking, and no smoking)) for at least 4
                       hours prior to the scan time. The patient should not have
                       had barium within 48 hours prior to this study. The patient
                       should not have morphine 6 hours prior to this exam. The
                       patient will receive an injection and be required to lie
                       completely still with no motion for the entire study. The
                       patient will lie flat on the scan table for 90-120 minutes. If
                       the patient has difficulty lying flat or lying completely still,
                       then the patient must discuss this with the ordering
                       physician prior to coming to the hospital, since the patient
                       may not be able to tolerate this exam. The Technologist
                       will place sponges under the knees, etc. to assist in
                       making the patient more comfortable, but comfort is not
                       always achievable. The patient should plan on spending
                       approximately 3 hours at the hospital for this procedure if
                       no other medication is administered (see next paragraph).

                       This exam often requires medication to be administered
                       midway through the procedure that may cause
                       drowsiness. Since this medication administration may be
                       necessary but is not always necessary, the patient for this
                       procedure should arrange for a driver to drive him home
                       after the procedure has been completed. If the patient
                       does not make arrangements for a driver to drive him
                       home, and this medication administration is necessary,
                       the patient will be monitored for at least 2 hours after the
                       procedure has been completed, increasing the time spent
                       at the hospital for this procedure to approximately 5 hours.

                       Patients are reminded to please be considerate of other
                       patients, and arrive 30 minutes before scan time.
Cardiac Wall Motion    The patient needs to bring a list of current medications
                       taken. This medication list should include the name of the
                       medication, dosage, and how often this medication is
                       taken. The patient will need to arrive at the hospital for
                       this exam 30 minutes prior to the scheduled exam time to
                       register at the Registration Desk. The patient needs to
                       bring the Physician’s written order with him to his
                       appointment. The patient will need an IV started upon
                       arrival for an injection. The patient should plan on being
                       at the hospital for at least 2 hours for this procedure.
Cardiolite Stress      The patient needs to bring a list of current medications
Test                   taken. This medication list should include the name of the
                       medication, dosage, and how often this medication is
                       taken. The patient needs to arrive 30 minutes early for his


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Nuclear Medicine Patient Preps


                       exam to register. The patient needs to bring the
                       Physician’s written order with him to his appointment. The
                       nurse will start an IV on this patient. The patient will be
                       injected with the imaging agent. This imaging agent must
                       circulate for a while before any images can be obtained.
                       The first set of images takes about 15 minutes to obtain.
                       A large camera will pass over the patient’s chest. This
                       large camera will be approximately 2 inches away from
                       the patient’s body. The patient’s arms will need to be
                       placed above his head while lying flat. Having the
                       patient’s arms extended over his head may cause
                       discomfort. It is very important for the patient to remain
                       perfectly still during the entire imaging portion of this
                       exam. The Tech will remain nearby but will not talk to the
                       patient once the imaging has begun in order to ensure that
                       the patient does not move.

                       The patient will be sent to the Stress Lab, where he will
                       walk on a treadmill while being monitored and watched by
                       a cardiologist (this “exercise” portion of the procedure is
                       actually a separate exam done in combination with the
                       nuclear medicine exam). If the patient is physically unable
                       to walk on the treadmill or it is determined by the
                       cardiologist that he does not want the patient to walk on
                       the treadmill, the patient will be given a medication that
                       speeds up the heart to simulate exercise. After the patient
                       has “exercised”, the patient will wait for a set amount of
                       time. During this wait time, it is important that the patient
                       eat and drink.

                       The patient will then be sent back to the Nuclear Medicine
                       department for additional imaging under the nuclear
                       camera. The patient should plan on spending
                       approximately 4-6 hours at the hospital for this entire
                       procedure since the exam has built in wait times. Also,
                       the cardiologists may have emergency exams that delay
                       patient throughput for the exercise portion of this test,
                       which affects all scheduled patients for the entire day.
Gastroesophageal       The patient needs to bring a list of current medications
Reflux & Aspiration    taken. This medication list should include the name of the
Study                  medication, dosage, and how often this medication is
                       taken. The patient will need to arrive at the hospital for
                       this exam 30 minutes prior to the scheduled exam time to
                       register at the Registration Desk. The patient needs to
                       bring the Physician’s written order with him to his
                       appointment. The patient will need to be NPO (Nothing by



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                       mouth (no eating, no drinking and no smoking)) from 8pm
                       the day prior to this test. The patient will be given a
                       substance to drink and then placed on a table for imaging.
                       The patient should plan on being at the hospital for 1 ½
                       hours for this procedure.
Gallium Study          The patient needs to bring a list of current medications
                       taken. This medication list should include the name of the
                       medication, dosage, and how often this medication is
                       taken. The patient will need to arrive at the hospital for
                       this exam 30 minutes prior to the scheduled exam time to
                       register at the Registration Desk on the first day of the
                       exam. The patient needs to bring the Physician’s written
                       order with him to his appointment. The patient will need
                       an IV started upon arrival for an injection on the first day of
                       the exam. The patient may need to have a bowel prep
                       prior to this procedure. The ordering physician needs to
                       communicate with the radiologist this patient’s history, and
                       then the ordering physician will instruct the patient on
                       whether or not a bowel prep is needed. The patient will be
                       placed on the table for imaging post injection. The patient
                       should plan on being at the hospital for 2 hours for this
                       procedure on the first day of the exam. The patient will be
                       instructed to return on Day 2 and Day 3 after injection for
                       additional imaging. The patient will be told to return to the
                       Radiology Front Desk (not register again). These delayed
                       imaging visits will take approximately 30 minutes each
                       day.
Gastric Emptying       The patient needs to bring a list of current medications
Study                  taken. This medication list should include the name of the
                       medication, dosage, and how often this medication is
                       taken. The patient will need to arrive at the hospital for
                       this exam 30 minutes prior to the scheduled exam time to
                       register at the Registration Desk. The patient needs to
                       bring the Physician’s written order with him to his
                       appointment. The patient will be instructed by his
                       physician to discontinue some medications for 48 hours
                       prior to this exam (the patient should continue taking
                       insulin and any cardiac medications, but discontinue other
                       medications). The patient should follow the ordering
                       physician’s instructions on which medicines to continue
                       taking. The patient cannot be allergic to eggs, gluten or
                       wheat. The patient will be given a special sandwich to eat
                       over a short period of time (less than 7 minutes), and then
                       the patient will be asked to lie flat on a table for imaging.
                       The patient will be required to lie flat on this table for a
                       minimum of 2 hours. The patient should plan on being at


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                       the hospital for approximately 3 hours for this procedure.
GI Bleeding Scan       The patient needs to bring a list of current medications
                       taken. This medication list should include the name of the
                       medication, dosage, and how often this medication is
                       taken. The patient will need to arrive at the hospital for
                       this exam 30 minutes prior to the scheduled exam time to
                       register at the Registration Desk. The patient needs to
                       bring the Physician’s written order with him to his
                       appointment. The patient should not have had barium
                       within 48 hours prior to this exam. The patient will need
                       an IV started upon arrival for an injection. The patient will
                       be placed on a table for imaging post injection. The
                       patient may need to be brought back to the Nuclear
                       Department in 4 hours, up to 24 hours, after the initial
                       injection, depending on the delay imaging necessary to
                       obtain results. Additional images are needed at set time
                       periods. The patient may eat and drink during these wait
                       periods. The patient is not required to remain at the
                       hospital during these wait times.
I-131 Hyperthyroid     The patient needs to bring a list of current medications
Study                  taken. This medication list should include the name of the
                       medication, dosage, and how often this medication is
                       taken. The patient for this exam must not be breast
                       feeding. The patient must NOT have had iodine within the
                       past 4 weeks prior to this exam. The patient must not be
                       taking iodine rich vitamins or foods. All women within
                       childbearing age must have a serum pregnancy test within
                       80hours of dosing for this exam unless the patient has
                       been surgically sterilized. The patient must be NPO
                       (Nothing by mouth (no eating, no drinking, and no
                       smoking)) for 2 hours prior to taking the pill prescribed for
                       this examination. The patient will need to arrive at the
                       hospital for this exam 30 minutes prior to the scheduled
                       exam time to register at the Registration Desk. The
                       patient needs to bring the Physician’s written order with
                       him to his appointment.
Liver Spleen           The patient needs to bring a list of current medications
Imaging                taken. This medication list should include the name of the
                       medication, dosage, and how often this medication is
                       taken. The patient will need to arrive at the hospital for
                       this exam 30 minutes prior to the scheduled exam time to
                       register at the Registration Desk. The patient needs to
                       bring the Physician’s written order with him to his
                       appointment. There is no prep for this exam. The patient
                       should not have had barium within 48 hours prior to this
                       exam. The patient will lie supine on the scan table for


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                      imaging post injection. The patient should plan to be in
                      the hospital for this procedure for a minimum of 2 hours.
Lung                  The patient needs to bring a list of current medications
Ventilation/Perfusion taken. This medication list should include the name of the
Scan                  medication, dosage, and how often this medication is
                      taken. The patient will need to arrive at the hospital for
                      this exam 30 minutes prior to the scheduled exam time to
                      register at the Registration Desk. The patient needs to
                      bring the Physician’s written order with him to his
                      appointment. There is no prep for this exam. The patient
                      will need a Chest X-Ray performed this same day. The
                      patient may be injected and/or given a dose to breathe in,
                      and imaging will be performed. The patient should plan to
                      be in the hospital for this procedure for a minimum of 2
                      hours.
Meckel’s              The patient needs to bring a list of current medications
Diverticulum          taken. This medication list should include the name of the
Imaging               medication, dosage, and how often this medication is
                      taken. The patient will need to arrive at the hospital for
                      this exam 30 minutes prior to the scheduled exam time to
                      register at the Registration Desk. The patient needs to
                      bring the Physician’s written order with him to his
                      appointment. The patient should not have had barium
                      within 48 hours prior to this procedure. The patient needs
                      to be NPO (nothing by mouth(nothing to eat, nothing to
                      drink, and no smoking)) for 12 hours prior to this exam.
                      The patient will be pre-medicated for 2 days prior to this
                      scan by the ordering physician. The patient will need an
                      IV inserted upon arrival. The patient will lie supine on the
                      scan table for imaging. The patient should plan to be in
                      the hospital for this procedure for a minimum of 1 hour.
Parathyroid           The patient needs to bring a list of current medications
                      taken. This medication list should include the name of the
                      medication, dosage, and how often this medication is
                      taken. The patient will need to arrive at the hospital for
                      this exam 30 minutes prior to the scheduled exam time to
                      register at the Registration Desk. The patient needs to
                      bring the Physician’s written order with him to his
                      appointment. The nurse will place an IV in the patient’s
                      arm. This IV will only remain for a few minutes. The
                      imaging isotope will be injected into the IV, and imaging
                      will begin 10-15 minutes later. A large camera will be
                      placed over the patient’s neck and chest area. Four
                      images are taken with the patient lying on his back. Each
                      image takes 10 minutes to obtain. After a 1-2 hour delay,
                      four more images will be taken. These delayed images


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                       are for comparison with the first set of acquired images.
                       The patient needs to plan on being at the hospital for
                       approximately 3 hours.
Sentinel Node          The patient will be injected by the surgeon in AM
                       admissions. The patient needs to bring a list of current
                       medications taken. This medication list should include the
                       name of the medication, dosage, and how often this
                       medication is taken. After a wait of at least 30-60 minutes,
                       the patient will be brought to Nuclear Medicine. The
                       camera will be positioned over the area of injection to
                       obtain 2-4 images. Each image takes approximately 10
                       minutes to obtain. The patient should plan on being in the
                       Nuclear Department for 30-60 minutes.




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