By Frans J Th Wackers, Wendy Bruni, Barry Zaret
The objective of this publication is to supply the description for the "nuts and bolts" institution and operation of a nuclear cardiology laboratory. In so doing, the authors have tried to accommodate the appropriate matters laboratory director needs to handle in both constructing the laboratory or retaining its aggressive area and scientific competence over the years. The authors essentially tried to spot concerns with regards to outpatient imaging amenities. even though, the place acceptable concerns with regards to inpatients in hospital-based laboratories also are discussed.
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Additional info for Nuclear Cardiology The Basics How to Set Up and Maintain a Laboratory
Example text
To elute the generator, to perform the QC, and to prepare the kits, a technologist has to come to the laboratory earlier in the morning than the rest of the technical staff. Depending on the number of kits to be made, this can take from 30 min to over 1 h. This technologist will be entitled to leave earlier at the end of the day than the rest of the staff. Therefore, one needs to have sufficient staff to be able to stagger shifts and to accommodate these hot lab duties. Table 1-1 lists some other issues to consider when deciding to order unit doses or to prepare radiopharmaceuticals on the premises.
For those diabetic patients taking insulin, we advise taking a modestly (–25 to –50%) reduced dose with a light breakfast; the balance of the insulin may be taken after the completion of the physical stress test. A capillary glucose should be obtained with the glucose meter prior to the test. If glucose is <100 mg/dL, approximately 15 g of liquid carbohydrate should be administered, such as 4 oz of juice, to prevent exercise-induced hypoglycemia. Specific instructions from the patient’s diabetologist may also be helpful in individual patients, particularly those with labile control.
Fitting ERNAs into the Daily Schedule Fitting ERNAs into the daily laboratory schedule is usually relatively easy if the ERNA volume is small. If the gamma camera Chapter 2 / Laboratory Logistics 37 used for myocardial perfusion imaging is also used for ERNAs, the most practical approach is to schedule ERNAs either at the beginning or at the end of the working day. It is generally not practical attempting to “squeeze” ERNAs between two myocardial perfusion studies in the course of the day. A complex schedule has the unavoidable tendency to run behind in time.