Preparation for Examination and Procedure
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INTRODUCTION
This booklet was created by UHHS Geneva Medical Center to
assist patients and families in preparing for diagnostic and surgical
procedures. In addition to the personal advice and direction
you receive from your doctor, we hope that
this guide is helpful to you. Thank you for
selecting UHHS Geneva Medical Center for
your health care needs.
TABLE OF CONTENTS
Examination Preparation for ULTRASOUND ...................... 3-4
Examination Preparation for DIAGNOSTIC RADIOLOGY .... 5- 6
Examination Preparation for NUCLEAR MEDICINE .......... 7- 8
Examination Preparation for CT SCANS ................................. 9
Examination Preparation for CARDIOPULMONARY .......... 10
Examination Preparation for CARDIAC STRESS TESTING .... 11
How to find us (Map) ............................................................ 14
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E X A M I N AT I O N P R E PA R AT I O N F O R
ULTRASOUND
Liver/Pancreas/Spleen/Aorta
Retroperitoneal/Abdominal
Vascular
• Nothing to eat or drink after
midnight the night before and
until the exam is completed
(NPO).
• Any medications can be taken
with limited sips of water
(unless your medications need
to be taken with food).
Pelvic
(Pregnancy/Uterus/Bladder)
Diagnostic & OB
• You should begin drinking 32
ounces (one quart) of water
one-and-one-half hours prior
to the scheduled appointment
time, and be finished drinking
one hour before the appointment
time.
• A full bladder is necessary for
this exam. You should not urinate
after drinking the water, until
the exam is complete.
• You may eat.
• Any medications can be taken.
Gallbladder and Upper
Right Quadrant
(Gallbladder/Liver/Pancreas)
Day Before the Exam:
• Nothing to eat or drink after
midnight the night before (NPO).
Day of the Exam:
• Nothing to eat or drink until
after the exam is completed.
• Any medications can be taken
with limited sips of water
(unless your medications need
to be taken with food).
When abdominal & pelvic ultrasounds are scheduled together, you
will be given two time slots due to
the different preparations necessary for each test. These times will
usually be about two hours apart.
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Ultrasound Continued
Kidney/Renal
• No preparation necessary.
If kidney and bladder ultrasounds are scheduled together:
• You should drink 32 ounces
(one quart) of water one hour
before the appointment time.
• A full bladder is necessary for
this exam. If possible, you
should not urinate after drinking
the water, until the exam is
complete.
For the Abdominal Ultrasound
(first of two tests):
Carotids (Venous & Arterial)
• Nothing to eat or drink after
midnight the night before and
until the exam is completed
(NPO).
• No preparation necessary.
• Venous and arterial ultrasound
exams must be done on separate
days and cannot be scheduled
on the same day.
• The venous ultrasound exam
will be done 1st to assure there
are no blood clots.
For the Pelvic Ultrasound
(second of two tests):
• After the first test, you will
drink 32 ounces (one quart) of
water to fill your bladder for
the pelvic ultrasound. You will
also be able to eat while filling
the bladder.
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UU HH H G
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E X A M I N AT I O N P R E PA R AT I O N F O R
DIAGNOSTIC RADIOLOGY
The day of the test, you will be
asked several questions regarding
your medical history and you
will be asked to sign a consent
form for us to perform the test.
If you have any questions regarding
the preparation or your test,
please call the Radiology
Department at 415-0165.
Upper GI/Barium
Swallow/Small Bowel
Follow-through (SBFT)
• Supper at scheduled hour the
night before your appointment.
• Nothing to eat or drink after
midnight the night before and
until the exam is completed (NPO).
• Any medications can be taken
with limited sips of water.
• IMPORTANT: following the
exam, it is essential to drink a
lot of fluids to clean the barium
out of your system.
IVP (Intravenous Pyelogram)
Follow the instructions contained
in the Fleets Kit given to you by
our Radiology Department.
Preparation begins at breakfast, the
morning before the exam is scheduled.
Please follow the preparation fully
so that you are properly prepped
for the examination.
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Certain blood tests may be required
for us to perform this test. If lab
work is necessary, you will be
informed of the need when
scheduling your test.
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Diagnostic Radiology Continued
If you have had barium x-rays,
dye or nuclear medicine, wait 7
days before scheduling this test.
Barium Enema or Barium
Enema with Air Contrast
Follow the instructions contained
in the Fleets Kit given to you by
our Radiology Department.
Preparation begins at breakfast,
the morning before the exam is
scheduled. Please follow the
preparation fully so that you are
properly prepped for the examination.
Mammograms *
• Wear a two-piece outfit, as you
will need to remove only
clothes from the waist up.
• Do not wear deodorant,
perfumes or powder under the
arms, on or near the breasts.
• If you have had any previous
mammograms elsewhere, please
make arrangements to bring the
films with you or have them
mailed to our facility prior to
your appointment
If you have any questions regarding the preparation or your test,
please call the Radiology
Department at 415-0165.
• After the preparation is
completed, nothing to eat or
drink after 10:00 PM the night
before and until the exam is
completed (NPO).
• Any medications can be taken
with limited sips of water.
• IMPORTANT: following the
exam, it is essential to drink a
lot of fluids to clean the barium
out of your system.
Bone Density (Also Known
as DEXA Scan)
Wear comfortable clothing, preferably pants with an elastic waist
band.
*Evening and weekend scheduling
available for mammograms.
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NUCLEAR MEDICINE
Brain Scan
• No preparation necessary.
• This test takes about one hour.
Gastric Scan
Gallbladder Scan (HIDA)
• Nothing to eat or drink eight
hours before the exam.
• This test takes about two hours.
Bone Scan
• Drink plenty of fluids prior to
the exam. There are no
restrictions on eating prior to
this exam.
• No X-ray barium 24 hours
prior to the exam. CT oral
contrast (barium) is allowed.
• The scan itself takes about one
hour. However, once the I.V.
injection is done, there will be
a three-hour wait before the
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scan begins.
• Nothing to eat or drink after
midnight the night before and
until the exam is completed
(NPO).
• 6 hours prior to study, any
medications can be taken with
limited sips of water.
• This test takes about two hours.
• If you are diabetic, please bring
your insulin in with you, a meal
will be given to you as part of
your test.
Gastrointestinal (GI) Bleed
• No preparation necessary.
• This test takes anywhere from
30 minutes to several hours.
Infection WBC (All Day Study)
• No preparation necessary.
Liver/Spleen Scans
• No preparation necessary.
• This test takes about 45 minutes.
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Nuclear Medicine Continued
Renal Scan
• No preparation necessary.
• This test takes from two to
three hours.
• Force fluids prior to study.
Thyroid Uptake and Scan
This study requires two days for
preparation.
• No IVP/Intravenous/ CT scan
contrast three months prior to
the exam.
• No thyroid medication three
weeks prior to the exam.
Lung Scan (VQ Scan)
First Day:
Nothing to eat four hours before
the capsule is taken.
• No preparation necessary.
• This test takes about one hour.
Second Day:
No further preparation necessary.
The scan takes about one hour.
Meckel’s Scan
• No preparation necessary.
• This test takes about one hour.
Gated Cardiac (MUGA)
• No preparation necessary.
• This test takes about one hour.
Parathyroid Scan
• No preparation necessary.
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CT SCANNING
Chest Scan with
Contrast/High Resolution
Chest Scan with Contrast *
Certain blood tests may be
required for us to perform this
test. If lab work is necessary, you
will be informed of the need
when scheduling your test.
• Nothing to eat or drink three
hours prior to the exam.
Head/Brain Scan *
Certain blood tests may be
required for us to perform this
test. If lab work is necessary, you
will be informed of the need when
scheduling your test.
Abdominal & Pelvic Scan*
Certain blood tests may be
required for us to perform this
test. If lab work is necessary,
you will be informed of the need
when scheduling your test.
• Nothing to eat or drink three
hours prior to the exam.
You will be required to drink a
CT scan contrast agent that can
be picked up in our Radiology
Department at least a day before
the exam. The directions for use
will be on the bottle.
Spine Scan *
• No preparation necessary.
Sinus Scan *
• No preparation necessary.
• Nothing to eat or drink three
hours prior to the exam.
IAC Scan *
• Nothing to eat or drink three
hours prior to the exam.
Renal Stone Protocol CT Scan*
*Evening scheduling available for
all CT scans.
• No preparation necessary.
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CARDIOPULMONARY
Pulmonary Function Test (PFT)
• No respiratory medications on
the day of the test.
Echocardiogram
• Please wear loose clothing.
Electroencephalogram (EEG)
• Hair must be washed and air
dried…no blow-drying.
• No make-up or hair
mousse/gel/spray.
• No perfume or body sprays.
• Please wear a button-up shirt
or blouse.
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CARDIAC STRESS TESTING
• Total length of appointment is
approximately one hour.
Stress Echo (Treadmill)
• Light breakfast or lunch is
permitted.
• Bring list of medications.
• Wear clothing and shoes
comfortable for exercise, button
up shirt, pants and no underwire
bra.
• You will have an echocardiogram
(ultrasound of the heart) before
exercising on a treadmill.
• Immediately after exercise you
will have another echocardiogram
for cardiac evaluation.
• Total length of appointment is
approximately one-and-onehalf hours.
For all Cardiac Stress Testing,
please bring your physician’s
order and your list of current
medications with you for registration. Also, please do not
wear perfumes or colognes. For
questions, please call 415-0162.
Dobutamine Stress Echo
(No Exercise)
• Light breakfast or lunch is
permitted.
• Bring list of medications.
• An IV will be started.
• IV medication (Dobutamine)
will be given and echocar
diograms (ultrasound of the
heart) will be performed for
cardiac evaluation.
• Total length of appointment is
approximately three hours.
Treadmill Stress
• Light breakfast or lunch is
permitted.
• Bring list of medications.
• Wear clothing and shoes
comfortable for exercise, button
up shirt and pants.
• You will exercise on a treadmill
with monitoring of your blood
pressure and EKG for cardiac
evaluation.
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Cardiac Stress Testing Continued
before exercising on a treadmill
to evaluate your heart at rest.
• At the peak of exercise another
isotope will be given and then
followed with a repeated scan
for cardiac evaluation.
• Total length of appointment is
approximately four to six
hours.
Adenosine/Persantine
Nuclear Stress (No Exercise)
• No caffeine at least 48 hours
prior to the exam…that is,
9AM two days before your
test (see Pg. 13 for list).
• Early morning testing: Nothing
to eat or drink after midnight
the night before and until the
exam is completed.
• Late morning testing: Light
breakfast before 6:30 am and
nothing to eat or drink until
the exam is completed.
• Bring list of medications.
• Wear clothing and shoes
comfortable for exercise, no
underwire bras.
• An IV will be started.
• You will be given an isotope
through the IV and scanned to
evaluate your heart at rest.
• An IV medication (Persantine)
will then be given and your
blood pressure and EKG will
Treadmill Nuclear Stress
• No caffeine at least 48 hours
prior to the exam…that is,
9AM two days before your test
(see Pg. 13 for list).
• Nothing to eat or drink after
midnight the night before and
until the exam is completed
(NPO).
• Bring list of medications.
• Wear clothing and shoes
comfortable for exercise, no
underwire bras.
• An IV will be started.
• You will be given an isotope
through the IV and scanned
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be monitored.
• Another isotope will be given
and then followed with a repeated
scan for cardiac evaluation.
• Total length of appointment is
approximately four to six hours.
• If you have any chronic
respiratory disease or condition,
please notify the cardiology
technician prior to your test.
About Caffeine
Some tests
require that
you not eat
or drink
anything
containing
caffeine for 48 hours prior to the
exam. If you do take caffeine,
your test will have to be re-scheduled
for another day. Here are some
guidelines to help you avoid that
inconvenience.
C E N T E R
Hot tea
Iced tea
Green tea
Hot cocoa
Chocolate milk, fudge & syrup
Coffee and chocolate ice cream
Coffee yogurt
Coffee and chocolate frozen yogurt
Chocolate candy and pudding
Chocolate cakes and brownies
Chocolate chips
Mountain Dew
Root beer
Dr. Pepper
Pepsi
Mr. Pibb
Coca-Cola
Some medications also contain
caffeine, including:
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Even decaffeinated coffee, tea
and some sodas actually contain
caffeine!
Some foods and beverages that
contain caffeine include:
Cafergot (all forms)
Fiorinal (all forms)
Wigraine (all forms)
Esgic (all forms)
No Doz
Norgesic and Norgesic Forte
Anacin
Fiorcet
Synalgos-DC
Excedrin
Please ask your pharmacist if
your medications might contain
caffeine.
• Regular coffee and tea
• Decaffeinated coffee and tea
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HOW TO FIND US
N
E. Main St.
S. Broadway St.
W. Main St.
Geneva
90
If additional directions are needed, please call
(440) 466 -1141 for further assistance.
870 West Main Street • Geneva, Ohio 44041
(440) 466-1141
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UNIVERSITY HOSPITALS
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patients at more than 150 locations
throughout northern Ohio.
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and advanced caring, the Health
System includes the region’s
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Institute as a “Comprehensive Cancer Center’ (the highest designation
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counterpart, Case Western Reserve University, form the largest center
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