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Case 18-2868, Document 283, 08/09/2019, 2628241, Page578 of 883 a onpen Meny ai the Radiology examinations require that the patient be prepared lor the procedure that js being ordered, We hava inaludact a brief description of the most common pritedures, HOWEVER, ai! exams. gre Included in the Manual of Laboratory, X-Ray, and Special Procedures and are contained in the Ancillary Services section in this anual, The procedure in the manual contains a brlef description, indigations, cantraindications, patient props and special instructions, * Please call Pediatrie Radiology x62554 for modified preps for peviatric cases. NOTE: SEQUENCING of oxarne is arftioal when ordering mulfipla exame. Barium studies generally . should be dane after other diagnostic procedures. Sse Manual for more complete Information or discuss with Radiologist so as natto delay patient care. Gl. Sertes Prep: N.P.C. from Midnight day before study, Suspend all medication except essential, Artispasmodits should be discontinued 24 hours before procedure. Aftercare: mild laxative and fluids. Barium Enema Prep: Clear fluids 24 hours prior to study, ” : _ 80 mI magneshim citrate by mouth at 5 PM day before study. 4 disacodyl tabiéts (duicdlax) by mouth at 10 PM the night before exam. 4 bisacodyl suppositary morning of exam. Nothing by mouth efter midnight. LY.P. (intravenous Pyelogram): ~ Prep: 10 ounces of magnesium oltrate at 6 PM evening before exam, Nothing by mouth after midnight - CT, {Head & Body} Prep: Clear fluids 4 Hours prior to study. Contrast injection requires the patent be NPO tor at least 4 hours prior to study. Patlents must ba cooperative and abte fo hold thei breath for Body CT's. Aftercare: Patlants receiving contrast should be hydrated, MRI CONTRAINDICATIONS: (> Patiants over 300 Ibs. @) Patlants with PACEMAKERS CANNOT BE DONE, @) Patients with metal surgical clips and other prosthetic devices shoutd consult wilh the Radiologist bafore ordering MRt's. @) Claustrophobia and inability to remaln still ate also contraindication and sedation may be required, SEE MANUAL FOR COMPLETE DETAILS. Sonegrams PELVIC/OBSTETRICAL: Requires full bladder, Patient should crink water and maintain a full bladder. ABDOMINAL/AORTIC RENAL: Clear liquid diet far 24 hours prior to exam. Nuclear Medicine » SPECIAL CONSIDERATIONS: 1. To obtain an. odequets a Lipton irate be moiety cuiely ha = te one hour in supine BAL 8 eet four hours prior to test. 3. Radloactive iodine is used for thyroid uptake and soanning. Do not schadule test if any of the following drugs or foods-have been ingested within minimal time limits ncicated: Iodine Compound {Lugol's Potassium iodids, Kelp); 1-2 weeks Seafood, Ovaltine, vitamin pills, Orande, Combid: 3-5 days Diodrest, Hypaque (.2., VP's anc arteriagrame): 1-2 weake Priodax. Telepaque, sic. (Le. gallbladder series): 3-6 months Upicdal (.e., bronchograms): at least 6 months Aniiahyrold druge herp satan Propyithiouraci seme 7 days. If in preparation for urgent radiolodina treatment, consuftation Thyroid substance (Le., Govloantad Suet Thewcwdwh 4weoke Tri-iodathyronine (Cytomel): 0-12 days. #f special ciroumsiancas requits evaluation despite the above: Indications {cantraindications) Nuclear Medicina physician consultetian advised. Page 2 01-08-2015 2121722 GIUFFRE003289 CONFIDENTIAL