patient instruction nuclear persantine perfusion stress test

PATIENT INSTRUCTION
NUCLEAR PERSANTINE PERFUSION STRESS TEST
Our camera used for Nuclear Stress testing can accommodate up to 400 pounds. On rare occasions, we
are not able to image some body types if the camera cannot move freely around the patient.
Our Nuclear Lab is located on our lower level. Patients will be required to walk up and down stairs in order
to get to the Nuclear Lab.
Please follow these instructions to ensure a high quality nuclear stress test:
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Please shower or bathe the day of the test. Do Not apply lotion and/or powder to your chest.
Wear loose fitting slacks or shorts with a button down shirt (NO METAL SNAPS), a comfortable
bra, sneakers or walking shoes.
You may have a light meal (cereal, fruit drink), 2 hours prior to the test.
DO NOTdrink regular coffee/tea, caffeinated or decaffeinated beverage or smoke after midnight
prior to the procedure.
You will need to eat between portions of the test. Bring a snack (sandwich, fruit, juice beverage).
PLEASE CHECK YOUR MEDICATIONS ON THE SECOND PAGE.
If you are a diabetic, please bring your glucometer.
Bring something to read such a book or newspaper.
If you have HMO insurance, your referral needs to be current.
The test is performed in the West Chester office.
Testing Procedure:
1.
The technician will explain the test, ask you some questions and have you sign consent and
insurance forms.
2.
An intravenous (IV) line will be started in your arm by the nuclear technologist or nurse. A
radioactive isotope will be injected into your IV and images (a type of x-ray) will be obtained. The
isotope allows us to take pictures of you heart.
3.
To prepare you for the next part, your chest will be cleansed, the skin will be slightly abraded and
EKG electrodes will be applied. This portion will take approximately 20 to 25 minutes.
4.
You will be given Persantine that will cause your blood vessels to dilate. Side effects of the
Persantine will be discussed before the test. Your blood pressure and heart rate will be monitored
closely. At the end of 6 minutes, another injection of isotope is given..
5.
Your IV will be removed and a final set of images will be obtained. This portion takes approximately
20 minutes. The test is the complete.
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Expect to be here for approximately 4 hours. This can vary with each patient.
IF YOU CANNOT KEEP YOUR APPOINTMENT, YOU MUST CANCEL 48 HOURS PRIOR TO YOUR
SCHEDULED APPOINTMENT DAY. FAILURE TO DO SO WILL RESULT IN A $110.00 CHARGE.
PLEASE CANCEL NO LATER THAN 4 P.M. ON FRIDAY PRIOR TO YOUR TEST IF IT IS SCHEDULED
ON A MONDAY.
PREPARATION INFORMATION FOR DIPYRIDAMOLE (PERSANTINE) OR ADENOSINE STUDIES
Prescription Medications Containing Theophylline
(do not take 36 – 48 hours prior to study)
Commonly Used Beverages & Foods Containing
Caffeine (do not take 8 hours prior to study)
Primatene (tablets)
Theo-24
Theovent Long Acting
Slo-bid Gyrocaps
Theospan-SR
Theobid Jr. Duracap
Slo-Phyllin Gyrocaps
Quibron-SR
Theolair-SR
Theo Dur
Theoclear L.A.
Tpyhl
Theo-Organidin
Theo-Sav
Theostat
TheoX
Tedral SA
Bronkodyl
Sustaire
Uniphyl
Theo-Dur Sprinkle
Elixophyllin
Constant-T
Theochron
Theobid Duracap
Aerolate
Respid
Trental
Coffee
Brewed drip coffee
Brewed percolator coffee
Instant coffee
Decaffeinated brewed coffee
Decaffeinated instant coffee
Please also discontinue dipyridamole (Persantine)
Soft Drinks
Tab
Coca-Cola
Cola, Decaffeinated
Dr. Pepper
Dr. Pepper, sugar free
Jolt Cola
Mellow Yellow
Mountain Dew
Mr. Pibb
Pepsi Cola
Diet Pepsi
Storm
Commonly Prescribed Drugs Containing Caffeine
(do not take 8 hrs prior to study)
Esgic
Cafergot (all forms)
Darvon Compound
Fiorinal
Fioricet
Synalgos
Wigraine
Norgesic/Norgesic Forte
Tea
Brewed commercial tea
Brewed imported tea
Instant tea
Iced tea
Food
Cocoa
Chocolate milk
Brownie
Milk chocolate
Dark semisweet chocolate
Baker’s chocolate
Chocolate syrup
Chocolate cake
Candy, chocolate
Candy, chocolate covered
Chocolate ice cream
Chocolate pudding, instant
Other chocolate products
Over the counter Drugs Containing Caffeine
Anacin
Execedrin
No Doz
If you are taking Aminophylline or Persantin (Dypridamole), Theodur, Theophylline, Uniphyl,
Aggranox, please discontinue 24 hours prior to the day of your test.
If you are taking Trental, please discontinue 48 hours prior to the day of your test.
All other medications can be taken as prescribed the morning of the test.