Nuclear Stress Test - Stormont-Vail HealthCare

We will be unable to perform your test if:• there is a chance you are pregnant or• you are breastfeeding.Preparation for test:• Do not consume any caffeine starting at 8 a.m. the day before and the day of your test.• You may have caffeine once your test is completed.• You may only drink:A. WaterB. White milkC. Juice• Eat a light meal two hours before your test.• Avoid caffeine in any form. This includes no coffee, tea, pop, or chocolate.• Do not take any medications containing caffeine, such as Excedrin or Anacin. Also decaffeinated products.• Do not bring your children with you to the test.• If you have diabetes or asthma, you may need additional instructions:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________• Take all your regular medications except:____________________________________________________________________________________________________________________________________________________________________________________________________________• We ask that you dress comfortably with:A. walking shoes for treadmillB. loose clothing (for IV needle placement)C. shirts should not have metal buttons or zippersD. for women, no dresses; pants are preferredIf you need to cancel or reschedule your appointment call (785) 270-4201.You must call by noon the day before your appointment, otherwise you will be charged a $400 fee to cover thecost of wasted medical isotopes.929 S.W. Mulvane • Topeka(785) 270-4000 • (800) 468-0177www.stormontvail.org00071001S Side 2 of 2 3/10