Guidelines for Medication Administration for Cardiac CTA
College of Medicine Department of Radiology Radiology Practice Guideline
Eric Thoburn, MD Vice Chair of Quality and Patient Safety
PO Box 100374 Gainesville, Florida 32610-0374
Phone: 352.265.0291 Fax: 352.265.0279
Website: xray.ufl.edu
Guidelines for Medication Administration for Cardiac CTA
RPC Approval: Next Review: Division/Faculty: Subject: Purpose:
Policy:
April 2018 April 2020
Cardiothoracic Imaging/Thoburn
Guidelines for Medication Administration for Cardiac CTA
Provide general instructions for the administration of medications for heart rate control and vasodilation prior to performing a coronary CTA.
The target heart rate for cardiac CTA is 66 bpm or less. Communication with the Cardiac Team is required for any deviation of these guidelines.
Out-patient Cardiac CTA
Monday through Friday, 8AM ? 5PM
Out-patients scheduled for cardiac CTA are managed by our Radiology Department nursing staff. The nurse will
administer the medications as per EPIC orders at the time of the scan. The cardiac team resident/attending will
provide orders in EPIC for the following:
IV Metoprolol:
Dose: 5 mg q 5 min X 4, as needed for HR>66 bpm, prior to scan
Sublingual Nitroglycerine: Dose: 0.4mg, 3-6 minutes prior to contrasted scan
In-patient Cardiac CTA ? Weekdays
Monday through Friday, 8AM ? 5PM
In-patients scheduled for cardiac CTA are managed by our Radiology Department nursing staff. The charge
technologist should contact Radiology Care Unit or nursing staff assigned to CT to discuss availability of nursing
staff. The cardiac team resident/attending will provide orders in EPIC for the following:
IV Metoprolol:
Dose: 5 mg q 5 min X 4, as needed for HR>66 bpm, prior to scan
Sublingual Nitroglycerine: Dose: 0.4mg, 3-6 minutes prior to contrasted scan
In-patient Cardiac CTA ? Weekends/Holidays
8AM ? 5PM
Due to the non-emergent nature of these exams as well as the expertise required to obtain a diagnostic study and
interpret the exam, this study is not typically offered after hours. In-patients scheduled for cardiac CTA on the
weekend are to be managed by the hospital floor/unit nursing staff. The ordering physician will provide orders for
beta blocker or other appropriate medication for heart rate control with a target heart rate of ................
................
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