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Xray exam preps.xls
Exam Preparation Guidelines
Barium Swallow, Modified Barium Swallow:
Barium enema (BE), Air Contrast Barium Enema (ACBE):
Nothing to eat or drink after midnightFleet prep kit 18-hour protocol
Nothing to eat or drink 3 hours prior to examNo solid food on day of exam
Nothing to eat or drink 3 hours prior to examNo solid food on day of exam1/2 Dulcolax suppository 3 hours prior to examIf results are poor, give a pediatric Fleets enema
5 oz. magnesium citrate (cold) afternoon prior to examIn early evening prior to exam, give 1 Dulcolax suppository.
Nothing to eat or drink after midnight2-3 hours prior to exam, give another Dulcolax suppository.
If results are poor, give a pediatric Fleet enema.
If patient is 13 years and over 100 pounds, use Fleet prep kit 18-hour protocol.
0-17 year NO PREP is given for suspected Hirshsprung's Disease
Precautions and Suggestions:
In cases of suspected toxic megacolon- NO PREP needed.
In cases of acute ulcerative colitis, THE PREP SHOULD NOT BE DONE. You should
have only a clear liquid diet prior to the examination.
If you have had a colonic biopsy, the barium enema should be postponed for ten days.4
Referring physicians who wish to modify the bowel prep may order their own bowel preps
for the individual and circumstances.
Should be performed 7-10 days after first day of last menstrual period. NO unprotected sex since first day of last menstrual period. A pregnancy test may done prior to the procedure.
Intravenous Pyelogram (IVP): CAN HAVE LIQUID UP UNTIL EXAM TIME
Nothing to eat after midnightFleet prep kit 18- hour protocol
If you have an allergy to iodine contact your ordering physician. Pre-medication will be required.
If you are diabetic, have renal disease or are over 60 years of age, you will have to have BUN/Creatinine lab work prior to having an IVP.
Full liquid diet day prior to exam1/2 Dulcolax tablet at 6:00 pm day prior to examNothing to eat 3 hours prior to exam
Full liquid diet day prior to exam1 Dulcolax tablet at 6:00 pm prior to exam1 Dulcolax tablet suppository 3 hours prior to exam
If patient is 13 years or over 100 pounds, use Fleet prep kit 18-hour protocol.
Consent form must be signed. Inform your technologist if you have a brain tumor and if you have had a recent MRI or CT scan of your brain.
Nothing to eat or drink after midnight May have liquid up to 2 hours prior to examConsent form must be signed. Inform your technologist of all the medications that you are currently taking.
Small Bowel Series (SBS), Small Bowel Follow Through (SBFT):
Nothing to eat or drink 3-4 hours prior to exam or withhold last feeding
May require nothing to eat or drink after midnight.
Upper GI series (UGI):
Nothing to eat or drink 3-4 hour prior to exam and/or withhold last feeding
Voiding Cysto Urethrogram (VCU):
This procedure requires radiology nurse to place a Foley catheter at the beginning of the exam.
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