Unique Plan Description: Test Prep CT
Plan Selection Display: Test Prep CT
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-01-12 14:50:07
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2025-09-11 14:53:04
Available at all facilities: Yes

Test Prep CT
Diagnostic Tests
	CT Test Prep
		T;N, Scheduled for: Stat, No Prep
		T;N
			Comment: Patient is scheduled for CT Exam.  Please give patient 500ml water 15 minutes before exam.
		T;N
			Comment: Patient is scheduled for CT Exam. Patient must have patent peripheral IV with minimum 22 gauge catheter, a power PICC or Power Line. If no IV access minimum 20 gauge catheter in right antecubital. Check to be sure patient has not had any iodinated contrast in past 24 hours if they have, notify CT department.
		T;N
			Comment: Patient is scheduled for CTA (CT Angiogram) Exam. Place the Extravasation Device Patch appropriately onto the arm (IV Team. IV access minimum 20 gauge catheter in right antecubital, if not possible, contact CT for alternatives. . Check to be sure patient has not had any iodinated contrast in past 24 hours if they have, notify CT department.
	Clear Liquid Diet
		T;N
			Comment: for 4 hours prior to CT exam. Medications may be taken with a small sip of water.
		T;N, After Midnight
			Comment: After MN. Medications may be taken with a small sip of water
		T;N
			Comment: for 2 hours prior to CT exam. Medications may be taken with a small sip of water.
	NPO
		T;N, After Midnight
			Comment: Medications may be taken with a small sip of water
	Creatinine
		T;N, Stat, spec type = Blood
	Breeza
		500 mL, By Mouth, Q20MIN, 3 Dose(s)/Time(s)
			Comment: To be given 60 minutes prior to exam. Clamp NG tube if applicable. Breeza is located in CT and will be delivered to the nursing unit.
	barium sulfate 2% oral suspension
		450 mL, Suspension, By Mouth, Q30MIN, 2 Dose(s)/Time(s)
			Comment: To be given 60 minutes prior to exam. Clamp NG tube if applicable.  Barium Sulfate is located in the refrigerator on the nursing unit. Check other barium orders for additional dosing times.
		450 mL, Suspension, By Mouth, Q30MIN, T;N, 2 Dose(s)/Time(s)
			Comment: To be given 60 minutes prior to exam. Clamp NG tube if applicable.  Barium Sulfate is located in the refrigerator on the nursing unit. Check other barium orders for additional dosing times.
		450 mL, Suspension, By Mouth, Q30MIN, STAT, T;N, 2 Dose(s)/Time(s)
			Comment: To be given 60 minutes prior to exam. Clamp NG tube if applicable.  Barium Sulfate is located in the refrigerator on the nursing unit. Check other barium orders for additional dosing times.

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase