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Preadmittance.doc


GATEWAY CARDIOLOGY, P.C.

PRE-ADMITTANCE OR PRE-PROCEDURE:
INSTRUCTIONS AND INFORMATION
PROCEDURE:_________________________________________________________
HOSPITAL: __________________________________________________________
DATE: _______________TEST TIME:__________ ARRIVAL TIME:____________
REPORT TO: __________________________________________________________
PLEASE BRING THE FOLLOWING ITEMS WITH YOU TO THE HOSPITAL:
1.) BRING ALL MEDICATIONS BOTTLES/CONTAINERS THAT YOU ARE CURRENTLY TAKING, AS WELL AS THE MILLIGRAMS
2.) PLEASE HAVE SOMEONE AVAILABLE TO DRIVE YOU HOME. YOU WILL NOT BE ALLOWED TO DRIVE YOURSELF. 3.) IF YOU ARE ALLERGIC TO ANY FOODS OR MEDICATIONS, PLEASE BRING A LIST WITH YOU. 4.) WHEN REGISTERING AT THE HOSPITAL, PLEASE PROVIDE THEM WITH THE NAME AND PHONE NUMBER OF YOUR PRIMARY CARE PHYSICIAN SO THAT RESULTS OF YOUR TEST MAY BE SENT TO HIM/HER 5.) YOUR INSURANCE CARDS. THE HOSPITAL WILL MAKE COPIES FOR THEIR BILLING OFFICE.
GENERAL INSTRUCTIONS:
1.) IF YOUR APPOINTMENT IS SCHEDULED IN THE MORNING, YOU SHOULD HAVE NOTHING TO EAT OR DRINK AFTER
MIDNIGHT THE NIGHT BEFORE. YOU MAY TAKE YOUR REGULAR MEDICATIONS WITH A VERY SMALL SIP OF WATER. IF YOU ARE DIABETIC, PLEASE SEE SPECIAL INSTRUCTION INFORMATION. IF YOUR PROCEDURE IS SCHEDULED FOR THE AFTERNOON, THE NURSE MAY INSTRUCT YOU TO HAVE A CLEAR LIQUID BREAKFAST (JUICE, BROTH, JELLO). 2.) IF YOU ARE UNDERGOING TRANSESOPHAGEAL ECHOCARDIOGRAM, YOU SHOULD NOT EAT OR DRINK AFTER 12:00 MIDNIGHT FOR THE EXCEPTION OF YOUR REGULARLY SCHEDULED MORNING MEDICATION WITH A SMA LL AMOUNT OF
SPECIAL MEDICATION INSTRUCTIONS:
IF YOU ARE TAKING COUMADIN (BLOOD THINNER), YOU MUST DISCONTINUE TAKING THE MEDICINE AS OF
_______________________ PRIOR TO HAVING THE CARDIAC CATHETERIZATION, ANGIOPLASTY, AND/OR PACEMAKER
INSERTION. THE ONLY EXCEPTION TO THIS WOULD BE IF YOU HAVE HAD A PREVIOUS STROKE OR IF YOU HAVE A HEART
VALVE.

ALLERGIES
IF YOU ARE ALLERGIC TO IODINE, SEAFOOD, AND/OR SHELLFISH, AND YOU ARE HAVING A CARDIAC CATHETERIZATION
AND/OR AN ANGIOPLASTY, YOU WILL NEED TO BE PRE-MEDICATED PRIOR TO THE PROCEDURE WITH THE FOLLOWING
PREDNISONE
– 20MG SHOULD BE TAKEN 3X A DAY ONE DAY PRIOR TO THE PROCEDURE. THIS DRUG MUST BE CALLED INTO YOUR PHARMACY FOR YOU. BENADRYL
– 25MG SHOULD BE TAKEN 3X A DAY PRIOR TO PROCEDURE. THIS MAY BE OBTAINED OVER-THE-COUNTER. – 20MG SHOULD BE TAKEN 2X A DAY ONE DAY PRIOR TO THE PROCEDURE. THIS ALSO MAY BE OBTAINED OVER-THE-COUNTER.
GATEWAY CARDIOLOGY, P.C.

PREADMITTANCE & PROCEDURE
INSTRUCTIONS AND INFORMATION

INSTRUCTIONS FOR PATIENTS WHO ARE DIABETIC:
THE FOLLOWING DIABETES MEDICATIONS SHOULD NOT BE TAKEN 48 HOURS PRIOR TO THE SCHEDULED PROCEDURE.
GLUCOPHAGE
GLUCOVANCE

PATIENTS ON INSULIN SHOULD ONLY TAKE ONE-HALF OF THEIR NORMAL DOSE THE MORNING OF THE TEST.
INTSTRUCTIONS FOR PATIENTS WHO ARE TAKING THE FOLLOWING
MEDICATIONS:
PATIENTS TAKING THE MEDICATIONS LISTED BELOW SHOULD NOT TAKE STATED MEDICATIONS THE EVENING PRIOR AND
MORNING BEFORE THE SCHEDULED PROCEDURE.
ACTOS/PIOGLITAZONE
GLYBURIDE
AMARYL/GLIMEPIRIDE
GLYSET /MIGLITOL
AVANDIA/ROSIGLITAZONE
MICRONASE
MALEAK
CHLORPROPAMIDE

PRANDIN/REPAGLINIDE
GLIPIZIDE
PRECOSE/ACARBOSE
GLUCOTROL
STARLIX/NATEGLINIDE
IF YOU HAVE ANY QUESTIONS REGARDING YOUR PROCEDURE, PLEASE FEEL FREE TO CONTACT OUR OFFICE AND ASK TO SPEAK WITH THE NURSE. SHE WILL BE HAPPY TO ASSIST YOU WITH ANY CONCERNS. SHE CAN BE REACHED AT (314) 729-0088.

Source: http://www.gatewaycardiology.com/images/dynamic/uploads/preadmittance.pdf

Microsoft word - 英文cv_薬・上村和秀2012-07-19.doc

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