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Computed Tomography Inpatient Preparation
1. Clear fluid only for 4hrs before scan (Diabetics – 2hrs). Fluids are encouraged, patient will need to drink oral 2. IP with IV contrast. Need working IV or saline lock or 3. Recent Creatinine/GFR if risk factors for contrast 4. Consent for IV contrast must accompany requisition if 1. Clear fluids encouraged if having IV contrast 2. IP with IV contrast. Need working IV or saline lock or 3. Recent Creatinine/GFR if risk factors for contrast 4. Consent for IV contrast must accompany requisition if 1. No solid food or drink for 4hrs before scan time 2. No caffeine either by coffee, tea or soda pop for 12hrs 4. No smoking for 12hrs before scan time 5. No erectile dysfunction (ED) medication for 24hrs 6. Recent Creatinine/GFR within 2 months documented 7. PT needs working IV (18-20G Nexiva or 20-22G 8. Consent for IV contrast must accompany requisition if 9. Beta Blockers may be prescribed to be taken before the scan to slow heart. Times will be as ordered. 10. Nitroglycerine Beta Blockers may be used during the Computed Tomography Inpatient Preparation
2. PT needs working IV in anticubital vein right arm (18- 20G Nexiva or 20-22G Diffusics) or power PICC 3. Recent Creatinine/GFR if risk factors for contrast 4. Consent for IV contrast must accompany requisition if 1. Clear fluids encouraged if having contrast 2. IP with IV contrast, need working IV or saline lock (18- 20G Nexiva or 20-22G Diffusics) or power PICC 3. Recent Creatinine/GFR if risk factors for contrast 4. Consent for IV contrast must accompany requisition if 1. NPO after midnight. May take meds with sips 2. Signed radiology consent. Family or POA must be available by telephone or present if unable to give 4. Recent CBC, PT, PTT, INR (INR ≤ 1.5, PTT ≤ 40) 5. Off anticoagulants including PLAVIX and ASA x 5 days 7. Send checklist, nursing flowsheet and MAR 1. Clear fluids encouraged if having IV contrast 2. IP with IV contrast, working IV or saline lock 3. Recent Creatinine/GFR if risk factors for contrast 4. Consent for IV contrast must accompany requisition if 1. Clear fluids encouraged if having IV contrast 2. IP with IV contrast, working IV or saline lock 3. Recent Creatinine if risk factors for contrast induced 4. Consent for IV contrast must accompany requisition if Computed Tomography Inpatient Preparation
1. NPO after midnight—may take meds with sips 7. Pre-Procedure checklist, MAR, nursing flow sheet 1. IP with contrast, need working IV or saline lock or 2. Consent for IV contrast must accompany requisition if 4. Recent Creatinine/GFR if risk factors for contrast 3. Working IV or saline lock or power PICC 4. Recent Creatinine/GFR if risk factors for contrast 5. Consent for IV contrast must accompany requisition if 2. Working IV or saline lock or power PICC 3. Recent Creatinine/GFR if risk factors for contrast 4. Consent for IV contrast must accompany requisition if Computed Tomography Inpatient Preparation
1. Clear fluids only for 4hrs before scan 3. Working IV or saline lock or power PICC 4. Consent for IV contrast must accompany requisition if 6. Recent Creatinine/GFR if risk factors for contrast 2. Recent Creatinine within 2 months documented 3. Working IV or saline ock (#18-20G Nexiva or 20-22G 4. Consent for IV contrast must accompany requisition if

Source: http://www.kgh.on.ca/en/specialtiesandservices/Imaging%20Services/Documents/Computed%20Tomography%20Inpatient%20Prep%20sheets.pdf