Saturday, August 27, 2011

CT Scan Abdominal Colonoscopy with Diabetic patient video




  CT for abdomen less important in comparison with CT for brain or skull especially with head trouma during RTA or Fall down from height

Instructions for Diabetics

  • Insulin:  If you are receiving insulin as part of your diabetes regimen, every attempt will be made to schedule your CT scan between 7:30 and 9:00 am.  Please consult with your physician regarding the dose of insulin you need to take before the CT scan.  Inform your physician that you cannot eat any solid food for 4 hours prior to the scan.
  • Metformin (Glucophage®): Do not take metformin on the day of your CT scan and do not resume taking it until your doctor has instructed you to do so.  Note: Metformin is also present within drugs named Glucovance, Avandamet, Metaglip, Fortamet, and Riomet.  After the CT scan, you must have another blood test to check your kidney function before you can start taking metformin again. Call your doctor for the results of the blood test for kidney function and for instructions about resuming metformin.  This is to prevent kidney damage and a serious reaction called lactic acidosis. 
     
     

On the Day of the CT Scan 

  • Do not eat any solid food for 4 hours prior to your CT scan.  You may drink clear liquids up until the time of your scan.  Clear liquids include water, black coffee or tea, apple juice, clear soda or clear broth.
  • Take your regular medications at your usual time, except insulin or metformin (see Instructions for Diabetics on other side).
  • Start drinking the oral contrast 1 ½ to 2 hours before your CT scan.  It can take from 30 to 60 minutes to drink all the contrast; you will need to be finished drinking all the oral contrast 1 hour before your scan.

During the CT Scan

You will lie on a table that will pass slowly through a large opening in the scanner as x-rays are taken.  You will be asked to lie perfectly still throughout the procedure, so that blurring does not occur.  Even though you will be alone in the room, you will be closely observed at all times.  If contrast is used, it will be injected into your arm through an IV line.  At the time of injection, you may have a momentary feeling of warmth and flushing, a salty taste in your mouth, and possibly some mild nausea.  This should pass quickly.  The scan itself is painless and should take approximately 30 minutes.
 video ct abdomen without contrast

After the CT Scan

After the scan, you should be able to resume your normal diet and activities.  Drink at least 5 to 6 glasses of water a day for 2 days after the scan. The water helps flush the contrast media from your system.  If you must limit your fluid intake because of a heart problem or for any other reason, talk with your doctor about how much water you can safely drink.
If you are a diabetic who takes any medication that contains metformin, you must have a blood test to check your kidney function before you can start taking metformin again. Call your doctor for the results of the blood test and for instructions about resuming metformin.  This is to prevent kidney damage and a serious reaction called lactic acidosis.
source: http://health.ucsd.edu/specialties/radiology/ct/abdomen.htm

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