Exam Preps

Please note: If your exam is not listed below, there are no special preparations needed.

SPECIAL NOTES:

If your exam description is preceded by a letter code such as “(B)”, please consult the guide below.

(G)  GLUCOPHAGE PRECAUTION: If you take Glucophage or Metformin in any form and are scheduled for an exam except MRI with IV contrast, discontinue the medication the day of the exam and do not restart until approved by your physician. Please discuss with your physician prior to your exam.

(C) CONTRAST (IODINE): If you are over 65 years old or have diabetes or have kidney disease or have poor kidney function, you will need a creatinine level blood test within 60 days of your exam. If you have ever had a significant allergic reaction to iodine contrast, you need to discuss this with your physician and notify us at least two days before the exam.

(B) BLOOD THINNERS: Blood thinners such as Coumadin, Plavix, Xarelto, Lovenox, Pradaxa, Aspirin and “NSAIDS” medication must be discontinued for 5 days prior to procedure. However, do not stop  Coumadin, Plavix, Xarelto, Lovenox or Pradaxa without permission from the prescribing physician.

(M) MRI CONTRAST: If you are over 65 years old or have diabetes or have kidney disease or have poor kidney function, you will need a creatinine level blood test within 60 days of your exam. Note: if you are on dialysis, your kidney doctor must perform dialysis after your MRI the same day. You must pre-arrange this with your doctor.

MRI:

(M)

No cochlear implants. Only certain specific pacemakers, aneurysm clips, or bio nerve stimulators; please bring your implant technical card to determine if MRI is safe for you.

MR Enterography: Low residue diet 24 hours prior (soup, broth, etc). Nothing to eat or drink except necessary medications 4 hours prior to your appointment. Arrive 2 hour prior to appointment to drink oral contrast.

 

CT and CTA:

(G) (C)

Abdomen and/or Pelvis: Pick up the 2 bottles of barium drink at Pueblo Medical Imaging at least 24 hours before your exam. Drink 1 bottle before bed the night before the exam. Drink the other bottle 2 hours before the appointment. If you are diabetic, then a light meal is recommended and take your medication (unless intravenous contrast will be given, then see below.

CT, CTA with intravenous contrast: If you take Glucophage or metformin in any form and are scheduled for a CT exam with IV contrast, discontinue the medication the day of the exam and do not restart until approved by your physician. Please discuss this with your physician prior to your exam.

Nothing to eat or drink for 4 hours prior to you appointment. Bring your prior X-ray, CT, CTA films or disk.

Head, Neck or Chest: Nothing to eat or drink for 4 hours prior to this exam. If patient is diabetic, then a light meal is recommended and take medication (unless intravenous contrast will be given, then see below.

CT Urogram: Drink 24-32 ounces of water 1 or 2 hours before appointment. Arrive 1 hour prior to your appointment.

CT Enterography: Low residue diet 24 hours prior (soup, broth, etc). Nothing to eat or drink except necessary medications 4 hours prior to your appointment. Arrive 2 hour prior to appointment to drink oral contrast.

CT Pancreas: No barium drink. Nothing to eat or drink for 4 hours prior too appointment.

CT CARDIAC SCORING:

No caffeine the day of test.

ANY BIOPSY PROCEDURE:

(B)

Must have a PT, PTT and platelets blood work within 2 weeks before study. If you take aspirin or blood thinner, please discontinue using these 2 days before the biopsy; check with your prescribing physician. Other regular medication should be taken as usual.  Nothing to eat or drink for 3 hours prior to your exam.   In order to schedule the procedure, we need to receive all relevant previous imaging from you, preferably on disc, at least 48 hours before the desired date.

 

SPECIFIC INFORMATION FOR BREAST BIOPSIES (ULTRASOUND, STEREOTACTIC AND MRI):

(B)

Do not wear powders, perfumes, deodorants, or lotions on breast, or underarms day of the exam. A comfortable two-piece outfit should be worn. Do not drive after examination. Please be prepared to have someone drive you home. Previous mammograms films need to be viewed by our radiologist 48 hrs prior to exam.

ULTRASOUND:

Abdomen, Liver, Gall Bladder, Pancreas, Right Upper Quadrant, Aorta: NPO for 6 hours prior to your appointment.

Kidneys/Retroperitoneum: Empty bladder, then drink 24 oz. of fluid (no soda or milk) 1.5 hours prior to your appointment. Drink all fluids within 30 minutes. DO NOT empty bladder again until after exam.

Female Pelvic, Obstetrical: Empty bladder, then drink 48 oz. of fluid (no soda or milk) 1.5 hours prior to your appointment. Drink all fluids within 30 minutes. DO NOT empty bladder again until after exam.

Pediatric abdomen for pyloric stenosis: Baby must fast for 4 hours; Pedialyte will be given during the exam.

FLUOROSCOPY:

Esophogram, Upper GI, Small Bowell: Nothing to eat or drink after midnight. NO BREAKFAST, NO Liquids, smoking, or chewing gum on morning of exam.

Upper GI with Small Bowel: Nothing to eat or drink after midnight. NO BREAKFAST, NO Liquids, smoking, or chewing gum on morning of exam.

Barium Enema: Nothing to eat or drink after midnight. Please pick up prep kit at Pueblo Medical Imaging 48 hours before exam.

VCUG: Come with a favorite toy and/or blanket, movie, etc, to help keep your child occupied during this sometimes-difficult exam. Please also prepare using the important VCUG brochure- download here.

INTRAVENOUS PYELOGRAMS (IVP):

(G) (C)

Nothing to eat or drink after midnight, though you may have a small amount of liquid with medication. Please pickup “bowel prep” kit from Pueblo Medical Imaging 48 hours before appointment. Follow instructions provided with prep kit. Please contact facility for information.

ENDOVENOUS LASER THERAPY:

Please contact facility for information.

Important: If your are taking diabetic medication containing metaformin, i.e. Glucophage or Glucovance, you must have a blood test 48 hours after your examination involving iodine. If you are allergic to IODINE and are having a CT with contrast, you must pick up medication from PMI at least 24 hours prior to test. DO NOT resume taking your medication until your physician has evaluated your lab results. ** If you are diabetic, have one kidney or have kidney problems, these exams require you to have a BUN & Creatine labs (blood work) done 2 to 3 days prior to your exam. Please contact your physician as soon as possible if arrangements have not been made for these labs.

MAMMOGRAPHY

No deodorant, perfume, powder or lotions on breasts or underarms. These may interfere with the test. Bring prior mammogram films or disk.

BARIUM ENEMA

Colon cleaning prep kit must be picked up from Pueblo Medical Imaging at least 2 days prior to appointment. Follow instructions provide in kit.

MYELOGRAM/LUMBAR PUNCTURE (SPINAL TAP)

Driver required. Labwork required: PT, PTT, UNR, Platelets within 30 days of exam.

ARTHROGRAM/JOINT INJECTION

(B)

May require driver.