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Download cardiolite (mibi) rest/persantine myocardial
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CARDIOLITE (MIBI) REST/PERSANTINE MYOCARDIAL PERFUSION SCAN Approved by: Senior Manager, Diagnostic Imaging Diagnostic Imaging Policy & Procedures Manual Number: VIII-60 Date Effective July 1, 2015 Next Review (3 years from Effective Date) July 2018 Purpose To diagnose and localize myocardial infarction and ischemia, utilizing two intravenous injections of a radiopharmaceutical on consecutive days. This scan is performed on selected patients who are unable to exercise adequately. Applicability This policy and procedure applies to Covenant Health Edmonton Acute Care facilities, patient care provider staff and physicians. Procedure Duration Injection will take 15 minutes, imaging will take 40 minutes to complete. Booking Procedure 1. By the Nursing Unit or attending Internist or Cardiologist. 2. Must be booked in advance (minimum one day). At the GNCH: Bookings are made through the Electrodiagnostic Services Department. At the MCHE: Book through Outpatient Booking Office. 3. Generate an order using electronic order entry system. Indicate pertinent history, patient allergies, infection precautions, if patient is diabetic, has renal insufficiency or any other special care requirements. 4. Ensure the patient has had no other Nuclear Medicine procedures scheduled within 48 hours preceding or following this examination. 5. If the patient has undergone an angiographic procedure, the Persantine procedure should be scheduled 24 hours post-angiography or 48 hours postangiography with angioplasty. Preparation The attending physician should explain the procedure to the patient. If the patient requires an interpreter, the nursing unit will make arrangements for Interpretive Services to be available for the procedure. The nursing unit will then advise Diagnostic Imaging that these arrangements have been made. a) Asasantine and Persantine must be stopped 48 hrs prior to examination. b) Certain cardiac and lung medications (i.e. Theophylline) should be discontinued 24-36 hours prior to the examination. Sprays can be continued. Attending physician to assess. c) Diabetic patients' diet and medications must be monitored by the attending physician. d) Fasting from midnight prior to the examination. No caffeine products 12 hours prior to the rest test (i.e. coffee, tea, chocolate, colas, etc.) and 36 hours prior to the stress examination. CARDIOLITE (MIBI) REST/PERSANTINE SCAN Date Effective July 1, 2015 Policy No. VIII-60 Page 2 of 2 e) The patient should be dressed in a hospital gown, pajama pants and wearing footwear appropriate for walking on a treadmill for the stress portion. f) Ensure the patient's chart is complete with doctor’s order, history of allergy and pertinent history. This must accompany the patient to Nuclear Medicine. g) Transportation as warranted by patient condition. h) This procedure requires an IV to be initiated with normal saline or D5W (preferably in the right arm) for the stress examination (MCH only). Post Procedure Care 1. The patient may resume normal diet after imaging each day. 2. Nuclear Medicine will advise Nursing Unit of time of imaging and patient preparation for the portion of the examination to be performed on the following day. References / Related Documents Covenant Health Policy/Procedure #VII-B-20, Interpretive Services Applicable site or organization applicable ‘Patient Consent’ policy/procedure(s)
