Current Cardiovascular Pharmacology Arthur Jones, EdD, RRT http://rc-edconsultant.com/ Learning Objectives: Explain the actions, effects, indications, adverse effects and precautions for agents from the following drug categories: ƒ cardiotonic agents ƒ antidysrhythmic agents ƒ nitrates ƒ miscellaneous cardiovascular agents Cardiotonic Agents Epinephrine A
TOMOGRAPHY ANGIOGRAM (CCTA)
Thank you for choosing Bay Area Medical Center for your Cardiac Computed
Tomography Angiogram (CCTA).
Your doctor has scheduled you for a Cardiac Computed Tomography Angiogram (CCTA) at BAMC.
Please arrive at (Please note that your arrival time may be up toone hour and 15 minutes earlier than your scheduled CT scan to allow for blood tests and/or other preparationsthat will need to be completed before your CT scan.) You can save time by Pre-Registering: Phone 715-735-4208 if you want to do so at your convenience. If you
donʼt call, expect someone from Pre-Registrations to contact you.
Please come to the Main entrance (Revolving door) of the hospital and go to the registration desk to check in.
Ⅲ What is a coronary computed tomography
• No nicotine on the day of the procedure.
angiogram or CCTA?
• Do not eat or drink 4 hours before the exam.
Cardiac computed tomography angiography (CCTA) is an imaging method that uses a CT scanner along with • If you are on a Metformin containing medication IV contrast to look at the structures and blood vessels (Metformin,Glucophage, glucovance, metaclip, Avanamet, Actoplusmet, Janumet, Panndimet), youshould hold medication the day of the exam and for Ⅲ Are there any risks?
at least 48 hours after the scan. You may be askedto return for labs.
A CT scan is a low risk procedure. Occasionally,patients will experience an adverse reaction to the IV • Notify your physicians immediately if you have a Contrast. If need be medication will be given to resolve the symptoms. Rarely, a more serious reaction known • Notify your physician immediately if you think you as an anaphylactic reaction may occur resulting in breathing difficulties. Again, medical treatment will begiven to treat the symptoms. IV contrast can be • Make sure you have a driver arranged to take you irritating or cause injury to the kidneys; however this is very unlikely in patients with normal kidney functions.
Ⅲ What will happen during the exam?
Ⅲ How to prepare for the exam
• You will change into a hospital gown.
• Avoid caffeinated drinks on the day before and the • AN IV will be inserted into your vein.
day of your exam. Coffee, tea, energy drinks,caffeinated sodas, chocolate, hot chocolate • You will lie on the CT scan table and will be asked to raise your arms above your head for the duration ofthe exam. It will be very important not to move.
• Avoid energy or diet pills on the day before and day of the exam (ask you doctor if you have questions).
• The technologist will be placing electrodes on your chest to monitor your heart rate during the • Do not use male enhancement products like Viagra, Cialis and Levitra, etc. for 48 hours prior to theexam.
• Once your heart rate is in an acceptable range the • The technologist will go over breathing exercises Ⅲ Post-procedure
with you. Once the scan is started, the IV contrast If you need any medication to slow your heart rate will be injected (this highlights the vessels in the during the procedure you will be monitored by the heart). You will feel warm and flushed but that will nurse after the procedure for about 30 minutes.
pass quickly. Once the images are reviewed andnothing else is needed the IV will be removed.
You should be able to resume normal activity after theexam.
• There are multiple criteria that need to be followed for the scan. Because of this the study may be You will get results of your exam at your follow up ESCANABA
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