Microsoft word - nuclear medicine preps_withlogo.doc

Nuclear Medicine Department – Phone: 904.202.8150 Nothing to eat or drink 4 hours prior to the study. Informed consent must be obtained prior to the lumbar puncture. Nothing to eat or drink for 4 hours prior to the scan. Please send a bottle with formula or breast milk (it can be thickened with cereal, if necessary). The patient will need to eat for the exam. Nothing to eat or drink for 6 hours prior to the exam. Please bring formula or baby food, or, if patient is old enough, either eggs or oatmeal, with 2 slices of bread and some butter. The patient will need to eat for the exam. Please call the department if patient won’t eat eggs or oatmeal, or if you have any questions regarding the meal. Nuclear Medicine will try to come up with alternatives, if possible. No Barium of any other type of radio-opaque oral contrast for 48 prior to exam. If patient had such contrast given in the last 48 hrs, a KUB will be needed to determine whether or not barium will impede the study. No stomach medications or anti-emetics for at least 12 hours prior to the exam. This includes things such as Phenergan, Zofran, Nexium, Protonix, Reglan, Erythromycin. These medications may slow gastric motility and can cause abnormal results. No Benadryl or Ativan, (given sometimes IV for nausea), as these will also adversely affect the results of the scan. For patients with NG Tubes need a KUB performed just prior to the nuclear medicine procedure to ensure proper tube placement. NJ Tubes cannot be used for gastric procedures in nuclear medicine, as they bypass the stomach. If a patient has an NJ tube in place, the patient will have to eat P.O., or else the NJ tube shall have Nuclear Medicine Department – Phone: 904.202.8150 to be pulled up into the stomach for the gastric emptying scan, in which case a KUB will be needed to confirm. NM Hepatobiliary Scan prep: Up to 6 months of age: Nothing to eat or drink 4 hours prior to the study. Nothing to eat or drink 6 hours prior to the study Infants under 1 year need to be on phenobarbital for at least 5 days prior to exam. Also, if patient is under 5 years old, recommend they arrive at least 1 hour prior to appointment to allow time for patient exam preparation and IV start. Nothing to eat or drink 6 hours prior. If patient has been NPO for 24 hrs or longer, he or she may need to be pre-treated with Kinevac prior to the start of the scan. No pain medication, particularly morphine, Demerol, Dilaudid 6 hr prior to exam. No oral contrast 48 hours prior to exam. Otherwise, a KUB needs to be performed prior to exam, to make sure barium will not interfere with exam. NPO 4 hours before, and at least 1 hour after the administration of the radiopharmaceutical (radioactive pill). NO IV contrast media (IVP, CT), 1-2 moths prior to exam NO OralContrast media (even non-ionic) for 6 weeks prior to exam NO Thyroid Medications: Cytomel, Synthroid, Proloid, Levoxyn for 3 weeks. NO iodine solution (SSKI, Lugols), Kelp, cough medicines or vitamins for 2 weeks prior. No Tapazole, Perchlorate, Nitrates, Bromides or Adrenocorticosteroids for 1 week prior to the exam. Thyroid related lab results should be available. NOTE: If the patient is unable to swallow a pill DO NOT SCHEDULE If the patient is under 5 years old, sedation is needed, and sedation prep guidelines will apply. No Blood Pressure medication or Beta Blockers for 24 hr prior to exam. Nuclear Medicine Department – Phone: 904.202.8150 Nothing to eat or drink 4 hours prior to the procedure • Nothing to eat or drink 6 hours prior to the procedure Patient must have No Barium (Upper GI, Barium swallow, CT with oral contrast) 48 hours prior to exam. If they have, the will need a KUB to determine if we can proceed with the test. If the patient is under 5 years old, sedation is needed, and sedation prep guidelines will apply. Also, if patient is under 5 years old, recommend they arrive at least 1 hour prior to appointment to allow time for patient exam preparation and IV start. NM Brain SPECT prep: Patient needs to arrive 1 hour prior the start of the exam. Once the IV has been inserted, the room will me made dim and quiet. No cellphones, talking, or interacting with the patient during this time. This could alter the patient’s blood flow to the brain, and affect the quality of the study in an adverse manner. Please be as quiet and still as possible. Sedation may be required. NPO 4 hours before, and at least 1 hour after the administration of the radiopharmaceutical (radioactive pill). NO IV contrast media (IVP, CT), 1-2 moths prior to exam NO OralContrast media (even non-ionic) for 6 weeks prior to exam NO Thyroid Medications: Cytomel, Synthroid, Proloid, Levoxyn for 3 weeks. NO iodine solution (SSKI, Lugols), Kelp, cough medicines or vitamins for 2 weeks prior. No Tapazole, Perchlorate, Nitrates, Bromides or Adrenocorticosteroids for 1 week prior to the exam. Thyroid related lab results should be available. Children under 5 years old will have to be sedated. Sedation prep guidelines will apply. NOTE: If the patient is unable to swallow a pill DO NOT SCHEDULE Same as for Thyroid Scan Multiple Uptake and scan. NM Tumor Localization 1 Day, Whole Body (MIBG scan) prep: NPO for 4 hours the day of the injection. Will not need to be NPO the following day (for the scan), unless patient requires sedation. Nuclear Medicine Department – Phone: 904.202.8150 SSKI: the doctor’s office should have given the parent a prescription for SSKI drops. Patient should take them 3 times a day, starting the day before the injection, and continuing for 3 days after the exam, for a total of 5 consecutive days. If the parents have any questions, please refer them to Nuclear Medicine at 202-8150 at least 48 hours prior to their first appointment date. Children under 5 years old will have to be sedated. Sedation prep guidelines will apply. NM Renal Scan with Lasix or Captopril prep: Patient should arrive at least 90 minutes prior to exam, so they can go to POPS for IV start and administration of IV fluids prior to nuclear medicine exam. For Captopril exams ONLY: NO ACE Inhibitors for 48-72 hours prior to exam. This includes: Captopril (Capoten), Prinivil, Vasotec, Zestril and others. If in doubt, please call Nuclear Medicine at 202-8150. Nurse will also evaluate and record the patient’s blood pressure every 15 minutes for 1 hour prior to starting the exam, so the total exam time will be a bit longer. Make sure the patient has obtained, filled and brought with them a prescription for oral Captopril from their doctor. NM Renal Scan- GFR prep: Patient should arrive at least 90 minutes prior to exam, so they can go to POPS for IV start and administration of IV fluids prior to nuclear medicine exam

Source: http://www.wolfsonchildrens.org/programs-services/hospital-services/imaging/Documents/nuclear_medicine_prep_guide.pdf