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Exam Preparations

If you have already pre-registered for your medical examination, please read and follow the guidelines before your procedure. These exam preparations will help to ensure you can have your procedure on the planned date.

Allergy Test Prep

  • Pre-treatment of patients with prior contrast induced allergic reaction or severe asthma.
  • Oral Prednisone 50 mg (prescribed by referring physician) 18, 12, and 6 hours prior to exam (3 doses).
  • Oral Diphenhydramine 50 mg (prescribed by referring physician) 1 hour prior to exam.
  • Patients must bring their empty medication bottles from the allergy prep.
  • Patient MUST have a driver.

Barium Enema (BE), Lower GI, Air Contrast BE

Barium Enema (PE), Lower GI, Air Contrast BE (45-60 Minutes)

    • Newborn to 1-year old: No preparation necessary.
    • Children 1-14 years old: clear liquid diet the day prior to the exam. Nothing to eat after evening meal. May have water until midnight. Unwrap and insert Ducolax suppository the evening before exam. Unwrap and insert 1/2 Ducolax suppository between 6-7 a.m. on the day of the exam.
    • Age 15 or older follow prep below.

You will need to go to any pharmacy and purchase:

    • Miralax – 238 grams
    • Ducolax – 4 tablets
    • Gatorade – 64 ounces (any flavor)

5 Days prior to the procedure: AVOID nuts, seeds popcorn, and corn. Also discontinue any fiber supplement such as: Metamucil, Citrucel, Fibercon, etc.
Day before procedure:

  1. Drink clear liquid only for breakfast, lunch, dinner and snacks. No solid foods, milk or milk products. “Clear liquids” include: juices with no pulp such as apple, grape, cranberry or lemonade. Also included are: water, clear broth, coffee, tea, pop, Kool-Aid, sports drinks, and plain gelatin (no fruit.)
  2. Try to drink extra liquids throughout the day
  3. At 3 p.m., take all 4 Ducolax tablets by mouth with 8 ounces of clear liquid.
  4. At 5 p.m., mix 238 grams of Miralax powder in 64 ounces of Gatorade. Shake the solution until the Miralax is dissolved. Try to drink 8 ounces of the mixture every 10-20 minutes until the solution is gone.
  5. Do not eat or drink anything after midnight. If your procedure is scheduled in the afternoon, you may have clear liquid 4 hours prior to the procedure.

Day of procedure:

  1. If you need to take medication the morning of the procedure, drink only a small amount of water with the medication.

Bone Scan

Please bring recent outside x-rays of any areas of interest with you to your appointment. No preparation is necessary.

CT Scan

  • For CAT Scan of abdomen and pelvis, nothing to eat or drink 4 hours before the exam.
  • If barium is needed, arrive 1 1/2 hours early to drink barium or the barium can be picked up in the Crittenton Outpatient Pharmacy (M-F 8:30 – 5) to drink at home. Patient must be done drinking the barium 1 hour prior to testing.
  • For the exam of chest, spine, head and extremity, no preparation is necessary.
  • Creatinine level within 30 days prior to exam but at least 2 days prior to the exam is needed for patients 19 years of age and older.
  • Urogran exam/drink 16 ounces of water 1 hour prior to exam
  • For a CT Chest or Abdomen: Please wear no metal (snaps, hooks, under-wire bra) above the waist.

Dexa

  • No calcium or multi-vitamin 24 hours before test.
  • No barium or nuclear medicine studies two weeks prior to exam.

Hepatobiliary (HIDA) Scan

Nothing to eat or drink 4 hours prior to exam. No barium studies for 3 days prior to exam.

Intravenous Pyelogram (IVP)

(IVP) (60 Minutes)

You will need to go to the pharmacy and purchase:

Ducolax – 2 tablets

Day before procedure:

  1. Take one Ducolax tablet by mouth at 7:00 p.m.
  2. Drink clear liquid only, after 7:00 p.m. No solid foods, milk or milk products. ”Clear liquids” include: juices with no pulp such as apple, grape, cranberry or lemonade. Also included are: water, clear broth, coffee, tea, pop, Kool-Aid, sports drinks, and plain gelatin (no fruit.)

Day of procedure:

  1. Take one Ducolax tablet by mouth at 7:00 a.m.
  2. Stay on clear liquids until test is completed then you may resume normal diet.
  3. If you need to take medication the morning of the procedure, you may do so with your clear liquids.

Children: Follow children’s BE prep.

Lung Scan

Please bring most recent chest x-ray with you to exam.

Mammography

On day of the exam, do not use powders, perfume, lotion, antiperspirant, deodorant or spray.

Meckels Scan

Nothing to eat or drink after midnight. No barium studies 2 weeks prior to exam.

Nuclear Meds

Female patients must not be pregnant or lactating.

Renal Scan

Please bring list of medications. No preparation necessary.

Small Bowel Series

Small Bowel Series only (30 Minutes – 3 Hours)

  • On the day before the exam, eat nothing after evening meal. May have water until midnight. On the morning of your exam, do not eat or drink. No gum chewing or smoking.
  • Children 0-3 years old: nothing by mouth for 3 hours prior to exam.

RBC Liver Scan

Please bring any outside CT or Ultrasound films of liver with you to exam. No preparation necessary.

Thyroid Scans

This is a 2 part exam, performed over 2 days. First day, nothing to eat or drink 8 hours prior to exam. No Iodine contrast for 2 months prior to exam. No thyroid medication 6 weeks prior to exam. No Nuclear Medicine Gallium, Indium or Iodine studies for 2 weeks prior to exam. No cordorone (amiodarone) 1 year prior to exam.

Upper GI (UGI)

Upper GI (UGI) (30 Minutes)

  • On the day before the exam, eat nothing after evening meal. May have water until midnight. On the morning of your exam, do not eat or drink, no gum chewing or smoking.
  • Children 0-3 years old: nothing by mouth for 3 hours prior to exam

Instructions for Special Procedures

Biopsy/ Cyst Aspiration

  • Consult your physician

Cardiac Monitor

  • Patient must be able to return the holter monitor the next day, except on Fridays the patient may return the monitor on Monday morning.

EEG:

  • Do not have any caffeine 24 hours prior to testing.
  • You will need to have clean, dry hair. Do not use any hair products.

EEG 24 Hour Ambulatory

  • Do not have any caffeine 24 hours prior to testing.
  • You will need to have clean, dry hair. Do not use any hair products.
  • Wear a buttoned down shirt

EEG Sleep Deprived

  • Adults: Do not have any caffeine 12 hours prior to testing. You will need to be awake 24 hours prior to test. You will need to have clean, dry hair. Do not use any hair products.
  • PEDIATRIC: Put the child to bed at midnight and awake at 4:00 a.m. Do not allow the child to sleep on the way to the appointment. Bring bottle, pacifier or favorite blanket to help sleep during test. Clean, dry hair with no hair products.

EMG: Upper and Lower

  • Bring your list of medications.

ENG/VNG:

  • No makeup or false eyelashes.
  • Wear comfortable clothing.
  • Arrange a driver to bring you to the hospital and back to your home. You will not be permitted to drive since this test may cause dizziness.
  • Do not take any tranquilizers, nerve pills, sedatives, sleeping pills, barbiturates, drugs for dizziness, antihistamine/cold or allergy medicines 24 hours prior to the test.
  • Do not drink any caffeine or eat a heavy meal 3 hours prior to the test.   **Estimated length of the test 1 and 1/2 hours**

Hysterosalpingogram

  • Counting the first day of the menstrual cycle as day one, schedule the appointment on the 9th, 10th or 11th day of cycle.

Renal Artery Doppler

  • Nothing to eat or drink after midnight. No gum chewing. Take your medication with minimum water. No smoking.

Stress Echocardiogram

  • Do not have any caffeine (this also includes de-caffeinated beverages) 12 hours prior to your scheduled appointment.
  • You may have a light breakfast 2 hours prior to your test. A glass of orange juice and a slice of toast is suggested.
  • Do not smoke day of test.
  • If you are taking heart medications, consult your physician. Some heart medications need to be discontinued prior to testing.
  • You will need to wear comfortable clothes and rubber soled shoes if you are having a tread mill test. This test may take up to 1 hour.

Stress Test Routine

  • Do not have any caffeine (this also includes de-caffeinated beverages) 12 hours prior to your scheduled appointment.
  • You may have a light breakfast 2 hours prior to your test. A glass of orange juice and a slice of toast is suggested.
  • Do not smoke day of test.
  • If you are taking heart medications, consult your physician. Some heart medications need to be discontinued prior to testing.
  • You will need to wear comfortable clothes and rubber soled shoes if you are having a tread mill test. This test may take up to 1 hour.

Stress Test with Dobutamine/Myoview/Persantine

  • Do not have any caffeine (this also includes de-caffeinated beverages) 12 hours prior to your scheduled appointment.
  • You may have a light breakfast 2 hours prior to your test. A glass of orange juice and a slice of toast is suggested.
  • Do not smoke day of test.
  • If you are taking heart medications, consult your physician. Some heart medications need to be discontinued prior to testing.
  • You will need to wear comfortable clothes and rubber soled shoes if you are having a tread mill test.
  • Bring a list of medications. Test time can be anywhere from 3-5 hours

 Tilt Table Test

  • Nothing to eat or drink 4 hours prior to testing.
  • Take all of your routine medications the day of your test (bring list), except beta-blockers and calcium channel blockers. Any questions about your medications, ask your doctor.
  • You MUST have a driver.

 VEP

  • Bring glasses if you wear them.

No Preparation Procedures

No preparation needed for the following exams:

  • 2D Echocardiogram
  • Arterial Doppler: Upper and Lower
  • Arthrogram
  • Bone Marrow
  • Cartoid Duplex
  • Gallium Scan
  • Gl Bleed
  • Labeled WBC Scan
  • Liver/Spleen Scan
  • Lymphoscintigraphy Parathyroid Scan
  • Muga Scan
  • Sulfur Colloid
  • Venous Doppler: Upper and Lower
  • Voiding cystogram