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PET-CT Scan Patient Preparation The Day Prior Your Exam • Follow ...

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<strong>Your</strong> Appointment is at Mercy Health Saint Mary’s<br />

200 Jefferson SE, Grand Rapids MI 49503<br />

Date:<br />

Time:<br />

Please register in advance by calling 616-685-6094<br />

Or online at<br />

www.MercyHealth<strong>Patient</strong>Registration.com<br />

<strong>PET</strong>-<strong>CT</strong> <strong>Scan</strong> <strong>Patient</strong> <strong>Preparation</strong><br />

<strong>The</strong> <strong>Day</strong> <strong>Prior</strong> <strong>Your</strong> <strong>Exam</strong><br />

• <strong>Follow</strong> the enclosed low carbohydrate diet.<br />

• Refrain from all strenuous activity.<br />

• Hydrate by drinking extra fluids, unless restricted.<br />

• Contact your physician if you need medication for claustrophobia, pain or a<br />

contrast dye allergy. Bring these medications with you to the testing center.<br />

• Glucophage must be discontinued for 48 hours after the injection of<br />

iodinated contrast material (i.e. <strong>CT</strong> contrast/dye) and reinstated only after<br />

renal function has been re-evaluated and found to be normal. This order is<br />

placed by the referring physician.<br />

<strong>The</strong> <strong>Day</strong> of <strong>Your</strong> <strong>Exam</strong><br />

• Plan on being at the testing center for approximately 3 hours.<br />

• Due to the nature of the medication used, pregnant women and children are<br />

not allowed in the uptake rooms.<br />

• Do not eat, drink (except water) or chew gum for 6 hours prior to your scan.<br />

You may take your regularly scheduled medications, except insulin, with<br />

water, prior to your scan.<br />

• Wear comfortable, loose fitting clothing with minimal metal and avoid wearing<br />

jewelry.<br />

• Diabetics: Do not take your insulin the day of your exam. If needed, contact<br />

your physician for specific instructions for controlling your glucose due to this<br />

restriction.<br />

<strong>The</strong> Procedure<br />

• An IV will be established and kept in place for the entirety of your<br />

appointment. A small amount of radioactive glucose (FDG) will be<br />

administered and must circulate for approximately 90 minutes prior to your<br />

scan. <strong>The</strong> scan will take 30-60 minutes and may require the use of oral<br />

and/or IV contrast dye.<br />

• During the circulation of the FDG, you will be in a private room equipped with<br />

cable television and a DVD player. Feel free to bring a movie along to watch.<br />

• A CD player is available for your use during your scan. You may bring along<br />

a CD for your listening pleasure or enjoy our music.<br />

After <strong>Your</strong> <strong>Scan</strong><br />

• Please drink extra fluids throughout the day to help rinse the contrast dye and<br />

FDG from your system.<br />

• <strong>Your</strong> <strong>PET</strong>-<strong>CT</strong> will be interpreted by a specially trained radiologist and a report<br />

will be sent to your ordering physician within 3-5 business days. Please<br />

contact your physician for results.<br />

www.mercyhealth.com (Over) GR15800-001 side 1, Rev 8 6 13


Mercy Health Saint Mary’s<br />

<strong>PET</strong>-<strong>CT</strong> Diet Plan<br />

DIET PLAN<br />

Beginning 24 hours prior to your scan, follow a low-carbohydrate diet. Use the<br />

guideline below for menu ideas.<br />

Suggested Foods:<br />

Protein: non-breaded beef, chicken, turkey, fish, pork, lamb, ham (without honey),<br />

hot dogs, lunch meats, fish, shellfish, crab, peanut butter (1 or 2 servings<br />

total), most nuts and sunflower seeds (2 ounces total) and eggs.<br />

Dairy:<br />

Low-fat cottage cheese, cheese, 1 serving light yogurt with artificial<br />

sweetener (Dannon light or Yoplait light), sour cream, butter, half & half.<br />

Vegetables: Green beans, asparagus, broccoli, cabbage, cauliflower, celery,<br />

cucumber, lettuce, mushrooms, radishes, spinach and zucchini.<br />

Condiments: Mayonnaise, salad dressing & barbeque sauce (those with 3g or less<br />

per serving of carbohydrates), oil, vinegar, mustard, hot sauce, tarter sauce,<br />

olives, dill pickles.<br />

Beverages: Diet soda, black coffee or tea (may add artificial sweetener and half &<br />

half), water (diet flavored o.k.), sugar free crystal light.<br />

Menu Suggestions:<br />

Breakfast<br />

Bacon/sausage and eggs<br />

Ham and cheese omelet<br />

Light yogurt<br />

Veggie & cheese omelet<br />

Lunch<br />

Egg salad<br />

Chef salad (no tomato)<br />

Ham & Cheese wrapped in<br />

lettuce leaves<br />

Cottage cheese<br />

Dinner<br />

Veggie/meat soup made with<br />

canned broth<br />

Cheeseburger no bun<br />

Chicken with barbeque sauce<br />

For a snack try celery and peanut butter, light yogurt or cottage cheese.<br />

Foods to Avoid:<br />

All foods containing sugar and most processed foods even “Low-carb” items.<br />

Potatoes Tomatoes Bread – all types of grains “Veggie” burger<br />

Corn Peas Breaded foods Soybeans (Edamame)<br />

Carrots Fruit Rice (brown and white) Syrups and Jams<br />

Legumes Juices Pastas/Noodles Crackers<br />

Squash Milk Sauces and Gravies Breath Mints<br />

Ketchup Chips/ pretzels Candy/ Gum Rice Cakes<br />

(Over) GR15800-001 side 2 rev 8 6 13

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