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Cardiopulmonary Orders - Emory Johns Creek Hospital

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CARDIAC ECHO:<br />

PREP INSTRUCTIONS FOR ADULT PATIENTS<br />

No special preparation.<br />

STRESS / DOBUTAMINE ECHOCARDIOGRAM:<br />

1. Do not eat, drink or smoke 4 – 6 hours prior to test.<br />

2. With approval from your physician, stop taking beta-blocker medications 24<br />

hours prior to test.<br />

3. Wear comfortable clothing/shoes if walking on treadmill.<br />

NUCLEAR STRESS TEST:<br />

1. Do not eat, drink or smoke 4 - 6 hours prior to test.<br />

2. With approval from your physician, stop taking beta-blocker medications 24<br />

hours prior to test.<br />

3. Wear comfortable clothing/shoes to walk on treadmill.<br />

NUCLEAR SCAN ADENOSINE:<br />

1. Do not eat, drink or smoke 4 – 6 hours prior to test.<br />

2. With approval from your physician, stop taking xanthine medications 24 hours<br />

prior to test.<br />

NUCLEAR SCAN DOBUTAMINE:<br />

1. Do not eat, drink or smoke 4 – 6 hours prior to test.<br />

2. With approval from your physician, stop taking beta-blocker medications 24<br />

hours prior to test.<br />

EKG: No special preparation.<br />

EXERCISE TREADMILL:<br />

1. Do not eat, drink or smoke 4 – 6 hours prior to test.<br />

2. Wear comfortable clothing/shoes to walk on treadmill.<br />

3. With approval from your physician, stop taking beta-blocker medications 24<br />

hours prior to test.<br />

TRANSESOPHAGEAL ECHOCARDIOGRAM (TEE):<br />

1. Do not eat, drink or smoke 4 – 6 hours prior to test.<br />

2. No driving for 24 hours after test. Bring driver or arrange for transportation<br />

home.<br />

PULMONARY FUNCTION STUDIES:<br />

1. Do not eat heavy meal before test.<br />

2. Do not smoke for 4 – 6 hours.<br />

3. Medication may be administered as part of this test.<br />

EEG :<br />

1. Wash your hair either the night before or the morning of the EEG.<br />

2. Do not use hair gel, hair spray, grease or conditioners on hair.<br />

3. Avoid caffeine products for 24 hours prior to test.<br />

If you have a question regarding your medications, please contact your physician.<br />

Your Appointment Date:_______________________ Time:____________<br />

Please bring this physician order form with you on the day of your<br />

appointment. Your procedure cannot be performed without a written<br />

order from your doctor. The start of your procedure may be delayed if we<br />

need to call your physician for another order to be faxed.<br />

In preparation for your tests:<br />

Please follow any fasting or procedure preparation instructions before coming<br />

for your tests.<br />

To save time, please call 678-474-7084 to pre-register or visit our website,<br />

<strong>Emory</strong><strong>Johns</strong><strong>Creek</strong>.com to print and fill out registration forms prior to your<br />

arrival. Please remember to bring with you at the time of registration the<br />

following items:<br />

All active insurance cards<br />

Picture ID<br />

Physician orders<br />

Patients are responsible for all financial liabilities including co-payments,<br />

deductibles, and out-of-pocket expenses at the time of registration or at the<br />

time of discharge for emergency admissions. If the exact dollar amount has<br />

not been determined, you will be asked to pay the estimated amount and will<br />

be billed for the remainder.<br />

We invite you to use our complimentary valet parking when you arrive.<br />

Directions<br />

From I-85: Take Pleasant Hill Road<br />

exit. Travel west on Pleasant Hill for<br />

5 miles until it becomes State Bridge<br />

Rd. Turn right onto Medlock Bridge<br />

Road (GA 141 N/Peachtree Pkwy).<br />

Go 3.5 miles and turn left onto West<br />

<strong>Johns</strong> Crossing. <strong>Hospital</strong> is less than<br />

half a mile on the left.<br />

From 400: Exit 10 (GA 120/Old<br />

Milton Pkwy) - Merge onto GA 120 E<br />

towards Duluth. Turn left onto<br />

Kimball Bridge (GA 120E). Turn left<br />

onto Jones Bridge Rd. Turn right<br />

onto Sargent Road. Sargent Rd.<br />

becomes McGinnis Ferry Rd. Turn<br />

right onto West <strong>Johns</strong> Crossing.<br />

<strong>Hospital</strong> is less than a quarter mile on<br />

the right.<br />

Address: 6325 West <strong>Johns</strong> Crossing, <strong>Johns</strong> <strong>Creek</strong>, GA 30097<br />

Directions: 678-474-7090

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