Nuclear Medicine Patient Preps Page 1 of 7 Nuclear Medicine Exam

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Nuclear Medicine Patient Preps Page 1 of 7 Nuclear Medicine Exam

  1. 1. Nuclear Medicine Patient Preps Page 1 of 7 Nuclear Medicine Exam For all Nuclear studies, all female patient cannot be 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 (Also called hepatobiliary Scan, Pipida Scan, GB Ejection Fraction) 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
  2. 2. Nuclear Medicine Patient Preps Page 2 of 7 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 Test 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 needs to arrive 30 minutes early for his
  3. 3. Nuclear Medicine Patient Preps Page 3 of 7 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 Reflux & Aspiration 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. The patient needs to bring the Physician’s written order with him to his appointment. The patient will need to be NPO (Nothing by
  4. 4. Nuclear Medicine Patient Preps Page 4 of 7 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 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. 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
  5. 5. Nuclear Medicine Patient Preps Page 5 of 7 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 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 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 Imaging 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. 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
  6. 6. Nuclear Medicine Patient Preps Page 6 of 7 imaging post injection. The patient should plan to be in the hospital for this procedure for a minimum of 2 hours. Lung Ventilation/Perfusion 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. 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 Diverticulum Imaging 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 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
  7. 7. Nuclear Medicine Patient Preps Page 7 of 7 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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