Unique Plan Description: Test Prep Nuclear Medicine
Plan Selection Display: Test Prep Nuclear Medicine
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2014-08-07 23:28:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-05-13 15:03:03
Available at all facilities: No

Test Prep Nuclear Medicine
Patient Care
	sodium chloride 0.9% flush injectable soln
		10 mL, Syringe, IV Push, IN IMAGING
		10 mL, Syringe, IV Push, IN IMAGING, IV line flush
		20 mL, Syringe, IV Push, IN IMAGING, IV line flush
		30 mL, Syringe, IV Push, IN IMAGING, IV line flush
	NPO
		T;N, For 2 hrs prior to exam.
		T;N, For 4 hrs prior to exam.
		T;N, For 6 hrs prior to exam.
		T;N
	Nuclear Medicine Test Prep
		
		Thyroid Uptake w/multiple(NOTE)*
	NPO
		T;N
			Comment: for 4 hours prior and 1 hours after oral dose of radioiodine.
	Nuclear Medicine Test Prep
		T;N, Nuclear medicine needs at least 24 hours notice to order isotope. Breast feeding must be terminated.
		Hepatobiliary system W/CCK(NOTE)*
	NPO
		T;N, For 4 hrs prior to exam.
	Nuclear Medicine Test Prep
		T;N, Must have patent peripheral IV access
			Comment: If TPN or tube feeding infusing, they need to be shut off for 4 hours prior to the scan.
	Sodium Chloride 0.9%
		50 mL, IV, 2 Dose(s)/Time(s), 20 ml/hr, Total Volume = 50
	Kinevac
		0.02 mcg/kg, Injection, IV Push, Once
		Gastroesophageal Reflux Study(NOTE)*
	NPO
		T;N
			Comment: for 6 hours prior to exam. Medications that delay gastric emptying such as opiates or antispasmodic agents should generally also be stopped 2 days before testing.
	Nuclear Medicine Test Prep
		T;N, Notify Nuclear Medicine if patient allergic to eggs
		Acute GI blood loss(NOTE)*
		Not a screening test for low hgb/hct. Patient must be actively bleeding.(NOTE)*
		T;N, Must have patent peripheral IV access. Patient should not receive barium within 6 hours of exam
		Gastric Emptying Study(NOTE)*
	NPO
		T;N
			Comment: for 6 hours prior to exam. Discontinue if ordered off Reglan, then the patient must be off the drug for 48hrs prior to exam
		Bowel Imaging Meckels(NOTE)*
		T;N, After Midnight
	Nuclear Medicine Test Prep
		T;N, Must have patent peripheral IV access. No intestinal irritants such as barium or laxative for at least 24 hours prior to study
		Bone Imaging limited, multiple whole body 3 phase(NOTE)*
		T;N, Must have patent peripheral IV access. Patient should be well hydrated if possible. (20-24 ounces of fluid 30 minutes prior to exam).
		Nuclear Medicine Stress Lexiscan(NOTE)*
		Stress test(NOTE)*
		T;N, No Caffeine for 12 hours prior to exam. Must have patent peripheral IV access. May have liquids day of exam. Diabetic patients may eat a light breakfast if necessary.
		T;N, Aggrenox, Persantine, Theo-Dur and theophyline are contraindicated for use with Lexiscan (Regadenoson). Hold Nitro patch and long acting nitrates, Imdur, Isordil, or Isorsorbide for 12 hours. Please consult the ordering physician or cardiologist
		Nuclear Medicine Stress Lexiscan(NOTE)*
	Lexiscan 0.4 mg/5 mL syringe
		
	Nuclear Medicine Test Prep
		T;N, No Caffeine for 12 hours prior to exam. Must have 1 patent peripheral IV access.. May have liquids day of exam. Diabetic patients may eat a light breakfast if necessary.,
		Nuclear Medicine Stress Treadmill(NOTE)*
		T;N, No Caffeine for 12 hours prior to exam. Must have patent peripheral IV access. May have liquids day of exam. Diabetic patients may eat a light breakfast if necessary., Once
		Pulmonary Perf w Ventilation(NOTE)*
		T;N, Must have patent peripheral IV access
			Comment: Must have patent peripheral IV access
	Chest 1 View
		T;N, Stat
			Comment: required within 24 hours of exam
		Kidney Imaging Vasc w pharm flow function(NOTE)*
	NPO
		T;N
	Nuclear Medicine Test Prep
		T;N, Must have patent peripheral IV access. Patient should be well hydrated if possible (20-24 ounces of fluid 30 minutes prior to exam).
	Foley Catheter
		T;N, Insert
	Notify MD
		T;N, for orders regarding holding ACE inhibitors, and diuretics which may affect urinary output.
		Tumor loc whole body gallium(NOTE)*
	Nuclear Medicine Test Prep
		T;N, Must have patent peripheral IV access
		Abscess loc Whole Body Gallium(NOTE)*
	NPO
		T;N
	Nuclear Medicine Test Prep
		T;N, Must have patent peripheral IV access, Once
		Pet/ct skull base thighs(NOTE)*
	Regular Diet
		T;N, High Protein
			Comment: low or no carbs starting evening meal before exam. No caffiene the morning of the exam.
	NPO
		T;N, After Midnight
			Comment: except for water 6 hours prior to exam.
	Nuclear Medicine Test Prep
		T;N, Must have patent peripheral IV access. Patient should be well hydrated if possible(20-24 ounces of fluid 30 minutes prior to exam). Diabetics should follow normal routine.
	Glucose POC - RN
		T;N
		Radiopharm therapy, oral(NOTE)*
	NPO
		T;N
			Comment: except for water 2 hours prior to and 2 hours after treatment
	Nuclear Medicine Test Prep
		T;N, Must have patent peripheral IV access. Patient should be well hydrated if possible. NO insulin 4 hours prior to exam.
	Isolation Precautions
		T;N, Radiation, Reason for Isolation: Radiation implants
	Beta-HCG Quantitative - Pregnancy
		Stat, spec type = Blood
	CBC with Diff
		T;N, Stat, spec type = Blood
	Chest 1 View
		T;N, Stat

*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