CT/CAT Scan You are scheduled to have a CT on: __________________ at: ________ am/pm. UW Hospital 600 Highland Ave Take the Atrium elevators to 3rd floor Check in at the G3/3 reception desk Research Park Clinic 621 Science Drive Madison, WI 53711 Check in at 2nd Floor Radiology East Clinic 5249 E. Terrace Dr Madison, WI 53718 Check in at the main reception desk UW Health Digestive Center 750 University Row Madison, WI 53705 Phone Numbers To Cancel or change your appointment Call 608-263-XRAY (9729) ext. #1 for CT Fax Number 608-266-6120Attention: CT Department What is a CT scan? Your doctor has ordered a computerized tomography (also referred to as a CT or CAT scan). A CAT scan is a special computer that makes detailed pictures of your internal organs and bones through the use of x-rays. The CT is very useful tool that helps the doctors look closely at the specific areas. Will I have any discomfort? CAT scans are painless but may involve other tests. Blood test to check your kidney function. The doctor will decide if blood tests are needed before the scan and will call to let you know. If you are scheduled to have your blood drawn on the day of your CT scan please have your doctor order the IV to be left in for the CT procedure. This will help you to avoid having a second needle stick. If you are having blood drawn any time before the day of your test it is best to bring those results with you or have them faxed to the UW Hospital Fax number 608-266-6120. Placement of an IV for contrast injection A small plastic catheter is placed in a vein in your arm to give IV contrast, a clear dye liquid. The doctor will decide if you will need IV contrast because it depends on what he or she is looking for. A central line (GROSHONG®, HICKMAN®, Infusaport, PAS or PICC) cannot be used for IV contrast. If we are not able to access your arm or hand veins and your central line is working, this may be an option. It will need to be cleared with the Radiology doctor. Purple Power PICC Lines or Power Infusa Ports are okay to use. Drinking contrast dye Some scans require patients to drink 2-3 large glasses of cold contrast or water to help highlight the area being scanned. The technologist will decide the amount based on the scan being ordered. You will be given a drinking schedule to follow. It is common for patients to get chilled while drinking. You may want to bring extra clothing like a jacket or sweater to wear during this time. What are the risks of a CT scan? CT scan risks are similar to those of x-rays. If you are pregnant or suspect you might be pregnant tell your doctor. Your doctor will order a pregnancy test to be done within 24 hours of the exam at a hospital or clinic. This is to reduce the risk to your fetus of being exposed to radiation. Your doctor may suggest that you postpone the CT or choose a different exam that doesn't involve radiation, such as an ultrasound. If you are breast-feeding: In the past, a woman who was breast feeding and had a CT scan with IV contrast was told to "pump and dump" for 24 hours after she was given the contrast. This was to make sure no contrast was transferred to an infant while breast feeding. Iodinated contrast may lead to direct toxicity and allergic sensitization or reaction. There have been no reports on this happening. A few studies have shown the amount of iodinated contrast in breast milk is small. The infant absorbs even less than that of the mother. However, if the mother decides not to breast feed, she should throw away any milk for the next 24 hours after being given contrast. If you have diabetes and are taking any of the pills listed below you will need to hold these medicines for 48 hours (2 days) after your scan is done. Please talk with your doctor about other ways to control your blood sugar during this time. You may take these medicines before your scan but not after. Avandamet® Glumetza® ActoPlus Met® Glucophage® Janumet® Fortamet® glyburide Metaglip® metformin Glucovance® Riomet® If you have allergies to contrast dye, let your doctor who orders the scan know you are allergic to contrast or iodine. You can be given medicine to prevent a reaction. Therefore, your scan will not need to be rescheduled. The Day of Your Scan Do not eat or drink for 4 hours before you arrive for your scan. You may take any prescribed pills ordered by your doctor with a few sips of water. If you have diabetes, we prefer to do your CT scan in the morning. If your scan is early, do not eat breakfast and take one-half of your morning insulin dose. If your scan is after 12 noon, you can eat up to 4 hours before your scan and take your normal insulin dose. When you arrive, tell the nurse or tech that you have diabetes and if you are take any of the medicines listed above. Please wear loose clothing so your arm is easy to access for your IV. For the scan you will lie on a table fully dressed. For chest scans, your bra must be taken off if it has metal in it. Sports bras are okay. If you are wearing jeans or any other metal on the area to be scanned, you will be covered with a sheet and the metal will be slipped out of the scan range. Once you have checked in at the reception area, a nurse or technologist from the CT area will come to get you. If you need an IV, you will be brought back to a private room where a nurse will ask you a few questions, answer any questions you might have, and start your IV. If you are having an abdomen or pelvis scan, the technologist will have you drink 2-3 large cups of contrast dye in the waiting area over 45-90 minutes. This dye is mixed with a sugar-free (Nutra Sweet®) flavored drink. This will fill your stomach and your small and large bowel, to highlight them for the scan. You may use the restrooms as needed. During the Scan The CT scan and IV contrast You will be placed on a table that can move in and out of the scanner. During the scan you will hear the machine make a humming noise. You may be asked to hold your breath for short amounts of time. If you need dye during the scan, the contrast injection will be placed in your IV line during the scan. When the contrast is given, you will have a brief feeling of heat throughout your body. You may also have a metallic taste in your mouth. While you receive the IV contrast, it is very common to feel as if you have urinated when this has not really occurred. This feeling is very brief and often lasts about one minute. If you receive IV contrast during your CAT scan, you must drink six 8 oz glasses of nonalcoholic and non-caffeinated beverages within the next 12-24 hours to make sure the contrast is flushed out of your body. The machine and room are very large, with a large open space. People who are claustrophobic often do not have problems during the scan. There will be no pain during the scan. If you do have problems during or after the scans, please tell the staff. Most scans take about 15-20 minutes to complete. Some may take an hour. When the scan is done Scan results will be sent to the doctor who ordered the scan for you. If you have not received a report within a couple of weeks, please call your doctor’s office. When to Call the Doctor If you have questions or concerns before or after your CT scan, please call your referring doctor or clinic. For more information see our website at www.uwhealth.org. Search: health information, CT scan. The Spanish version of this Health Facts for You is #6886. HICKMAN® and GROSHONG® are registered trademarks of C.R. Bard, Inc. and its related company, BCR, Inc. Your health care team may have given you this information as part of your care. If so, please use it and call if you have any questions. If this information was not given to you as part of your care, please check with your doctor. This is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each person’s health needs are different, you should talk with your doctor or others on your health care team when using this information. If you have an emergency, please call 911. Copyright © 1/2014 University of Wisconsin Hospitals & Clinics Authority, All Rights Reserved. Produced by the Department of Nursing. HF#4351