Infant UGI

            1.         Preparation:  NPO for 3-4 hours

 

Upper GI

            1.         Preparation:

                        a.         Newborn to 6 months:      NPO 3 hours prior to exam

                        b.         6 - 12 months:                  NPO 4 hours prior to exam

                        c.         One year and older:          NPO 6 hours prior to exam

 

Double Contrast Upper GI (performed only on patients able to swallow Fizzies,

            over 5 years of age)

            1.         Preparation:  NPO 6 hours prior to exam

 

Small Bowel Follow Through

            1.         Preparation:

                        a.         Newborn to 6 months:      NPO 3 hours prior to exam

                        b.         6 - 12 months:                          NPO 4 hours prior to exam

                        c.         One year and older:                  NPO 6 hours prior to exam

 

Upper GI for Pyloric Stenosis (rarely performed)

            Note:   Babies with clinical and physical findings consistent with pyloric stenosis should be referred to ultrasound

            1.         Preparation: NPO 3 hours prior to exam

 

Single Column Barium Enema

            1.         Preparation:

                        a.         All children should have clear liquids only for 24 hours before exam time

                        b.         Increase fluid intake for all children

                        c.         Evening before exam, initiate the following schedule of Milk of Magnesia:

                                    i.          Under 2 years:  none

                                    ii.          2 – 5 years:  2 teaspoons

                                    iii.         6-11 years:  2 tablespoons

                                    iv.         12 years and older:  4 tablespoons

                        d.         Children 2 years and older have Fleets enema before bedtime the evening before exam and another Fleets enema before coming to the hospital for exam

                        e.         If diagnosis is for Hirschsprung’s or chronic constipation:

                                    i.          DO NOT PREP

                                    ii.          For 2 days prior to BE:

                                                - no rectal exams

                                                - no rectal stimulation

                                                - no rectal thermometers

                                                - no suppositories

                                                - no enemas

 

Double Contrast Barium Enema

            1.         Preparation:

                        a.         All children should have clear liquids only for 24 hours before exam time

                        b.         Increase fluid intake for all children

                        c.         Evening before exam, initiate the following schedule of Milk of Magnesia:

                                    i.          Under 2 years:  none

                                    ii.          2 – 5 years:  2 teaspoons

                                    iii.         6-11 years:  2 tablespoons

                                    iv.         12 years and older:  4 tablespoons

                        d.         Children 2 years and older have Fleets enema before bedtime the evening before exam and another Fleets enema before coming to the hospital for exam

                        e.         If diagnosis is for Hirschsprung’s or chronic constipation:

                                    i.          DO NOT PREP

                                    ii.          For 2 days prior to BE:

                                                - no rectal exams

                                                - no rectal stimulation

                                                - no rectal thermometers

                                                - no suppositories

                                                - no enemas

 

Small Bowel Enema - Double Contrast Study

            1.         Preparation:

                        a.         Newborn to 6 months:      NPO 3 hours prior to exam

                        b.         6 - 12 months:                          NPO 4 hours prior to exam

                        c.         One year and older:                  NPO 6 hours prior to exam

 

Nephrostogram

            1.         No preparation

 

Retrograde Urethrogram

            1.         No preparation

 

Excretory Urogram (EU) / Intravenous Urogram

            1.         Preparation:

                        a.         Encourage extra clear liquids for all children for 24 hours before exam

                        b.         No solid food on day of exam

                        c.         Patient can have clear liquids until 2 hours prior to exam, then NPO 2 hours prior to exam.

                        d.         Evening before exam take Milk of Magnesia:

                                                Newborn to 2 years:  no prep

                                                2-5 years:  2 teaspoons

                                                5-10 years:  1 tablespoon

                                                10 and up:  2 tablespoons

                        e.         IV placement

 

Fistulagram

            1.         No preparation

 

Pharyngeal Airway Study

            1.         Preparation: NPO for 2 hours prior to exam

 

Arthrogram  (Hip) - Performed in radiology department by orthopedic surgeon with fluoro assistance by radiology department

            1.         Preparation: NPO and sedation to be given by anesthesiologist, when indicated

 

Cyclic Voiding Cystourethrogram (VCUG)

            1.         No preparation