{"id":25605,"date":"2023-11-06T12:02:57","date_gmt":"2023-11-06T11:02:57","guid":{"rendered":"https:\/\/test.nemji.cz\/?page_id=25605"},"modified":"2024-05-10T09:49:41","modified_gmt":"2024-05-10T07:49:41","slug":"informace-pro-lekare","status":"publish","type":"page","link":"https:\/\/webnemji.azurewebsites.net\/en\/oddeleni\/oddeleni-nuklearni-mediciny\/informace-pro-lekare\/","title":{"rendered":"Information for doctors"},"content":{"rendered":"<div id=\"cmsmasters_row_6iluctg3hk\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_overlay\"><\/div>\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_sybg7he2sg\" class=\"cmsmasters_column one_first\">\n<div class=\"cmsmasters_column_inner\"><div id=\"cmsmasters_heading_b3c74b95a0\" class=\"cmsmasters_heading_wrap cmsmasters_heading_align_center pageheadingtitle\">\n\t<h1 class=\"cmsmasters_heading\">Odd\u011blen\u00ed nukle\u00e1rn\u00ed medic\u00edny<\/h1>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"cmsmasters_row_ly5ze1hf8e\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_v67ee6nvg7\" class=\"cmsmasters_column one_first\">\n<div class=\"cmsmasters_column_inner\"><div class=\"cmsmasters_text\">\n<p><nav aria-label=\"breadcrumbs\">\n            <div class=\"breadcrumb-container theme1\">\n                <ol>\n                                    <\/ol>\n            <\/div>\n        <\/nav>    <script type=\"application\/ld+json\">\n        {\n            \"@context\": \"http:\/\/schema.org\",\n            \"@type\": \"BreadcrumbList\",\n            \"itemListElement\": [\n                            ]\n        }\n    <\/script>\n   \n    <script>\n            <\/script>\n<\/p>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"cmsmasters_row_3f2f8816dd\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_0a1c5940f5\" class=\"cmsmasters_column one_third stickyinfocolumn\">\n<div class=\"cmsmasters_column_inner\"><div id=\"cmsmasters_heading_rva6m2t32d\" class=\"cmsmasters_heading_wrap cmsmasters_heading_align_center\">\n\t<h3 class=\"cmsmasters_heading\">Informace o odd\u011blen\u00ed<\/h3>\n<\/div>\n<div id=\"cmsmasters_divider_dpp34mcdj5\" class=\"cmsmasters_divider cmsmasters_divider_width_short cmsmasters_divider_pos_center\"><\/div>\n<div class=\"cmsmasters_sidebar sidebar_layout_11 sidebar-custom-menu\"><aside id=\"nav_menu-54\" class=\"widget widget_nav_menu\"><div class=\"menu-oddeleni-onm-container\"><ul id=\"menu-oddeleni-onm\" class=\"menu\"><li id=\"menu-item-25590\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-25590\"><a href=\"\/oddeleni\/oddeleni-nuklearni-mediciny\/#popis-oddeleni\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-info\"><\/i> Popis odd\u011blen\u00ed<\/a><\/li>\n<li id=\"menu-item-25591\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-25591\"><a href=\"\/oddeleni\/oddeleni-nuklearni-mediciny\/#personalni-obsazeni\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-user-doctor\"><\/i> Person\u00e1ln\u00ed obsazen\u00ed<\/a><\/li>\n<li id=\"menu-item-25592\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-25592\"><a href=\"\/oddeleni\/oddeleni-nuklearni-mediciny\/#oteviraci-hodiny\" data-ps2id-api=\"true\"><i class=\"fa-regular fa-clock\"><\/i> Ordina\u010dn\u00ed hodiny<\/a><\/li>\n<li id=\"menu-item-25593\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-25593\"><a href=\"\/oddeleni\/oddeleni-nuklearni-mediciny\/#kontaktni-informace\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-phone\"><\/i> Kontaktn\u00ed informace<\/a><\/li>\n<li id=\"menu-item-25594\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-25594\"><a href=\"\/oddeleni\/oddeleni-nuklearni-mediciny\/#kde-nas-najdete\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-location-dot\"><\/i> Kde n\u00e1s najdete<\/a><\/li>\n<li id=\"menu-item-25595\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-25595\"><a href=\"\/oddeleni\/oddeleni-nuklearni-mediciny\/#fotogalerie\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-camera\"><\/i> Fotogalerie<\/a><\/li>\n<li id=\"menu-item-25596\" class=\"menu-custom-separator menu-item menu-item-type-custom menu-item-object-custom menu-item-25596\"><hr class=\"mhm-menu-separator\"><\/li>\n<li id=\"menu-item-25597\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-25597\"><a href=\"\/oddeleni\/oddeleni-nuklearni-mediciny\/seznam-vysetreni-onm\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-stethoscope\"><\/i> Seznam vy\u0161et\u0159en\u00ed ONM<\/a><\/li>\n<li id=\"menu-item-25598\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-25598\"><a href=\"\/oddeleni\/oddeleni-nuklearni-mediciny\/informace-pro-lekare\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-circle-info\"><\/i>Informace pro l\u00e9ka\u0159e<\/a><\/li>\n<li id=\"menu-item-25599\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-25599\"><a href=\"\/oddeleni\/oddeleni-nuklearni-mediciny\/informace-pro-pacienty\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-clipboard-check\"><\/i> Informace pro pacienty<\/a><\/li>\n<li id=\"menu-item-25637\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-25637\"><a href=\"\/oddeleni\/oddeleni-nuklearni-mediciny\/zadanky-na-vysetreni\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-clipboard-list\"><\/i>\u017d\u00e1danky na vy\u0161et\u0159en\u00ed<\/a><\/li>\n<\/ul><\/div><\/aside><div class=\"cl\"><\/div>\n<\/div>\n<\/div><\/div>\n<div id=\"cmsmasters_column_k7vlyuz4yq\" class=\"cmsmasters_column two_third\">\n<div class=\"cmsmasters_column_inner\"><div id=\"cmsmasters_heading_0cx4mcjjyd\" class=\"cmsmasters_heading_wrap cmsmasters_heading_align_left\">\n\t<h2 class=\"cmsmasters_heading\">Informace pro l\u00e9ka\u0159e<\/h2>\n<\/div>\n<div id=\"cmsmasters_divider_kul4awri6m\" class=\"cmsmasters_divider cmsmasters_divider_width_short cmsmasters_divider_pos_left\"><\/div>\n<div class=\"cmsmasters_text\">\n<h5><strong>P\u0159\u00edprava pacienta na vy\u0161et\u0159en\u00ed PET\/CT pomoc\u00ed 18F- FDG:<\/strong><\/h5>\n<p>U ka\u017ed\u00e9ho pacienta provedeme p\u0159ed aplikac\u00ed radiofarmaka orienta\u010dn\u00ed vy\u0161et\u0159en\u00ed glyk\u00e9mie glukometrem, vy\u0161et\u0159en\u00ed se prov\u00e1d\u00ed nala\u010dno &#8211; doba la\u010dn\u011bn\u00ed nejm\u00e9n\u011b 6 hodin.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>Doporu\u010dujeme zejm\u00e9na:<\/strong><\/h5>\n<p>P\u00edt dostate\u010dn\u00e9 mno\u017estv\u00ed neslazen\u00fdch n\u00e1poj\u016f, nejvhodn\u011bj\u0161\u00ed je voda, neslazen\u00fd \u010daj, ho\u0159k\u00e1 k\u00e1va (ml\u00e9ko, alkoholick\u00e9 n\u00e1poje v\u010detn\u011b piva \u010di dal\u0161\u00ed kaloricky vydatn\u00e9 n\u00e1poje nejsou \u017e\u00e1douc\u00ed). Den p\u0159ed vy\u0161et\u0159en\u00edm vynechat tu\u010dn\u00e1 a sladk\u00e1 j\u00eddla.<br \/>\nPokud je pacient objedn\u00e1n na odpoledn\u00ed hodiny, je doporu\u010dena lehk\u00e1 sn\u00eddan\u011b (nap\u0159\u00edklad neslazen\u00fd \u010daj s rohl\u00edkem).<br \/>\nVynechat fyzickou n\u00e1mahu po dobu 24 &#8211; 48 hodin. (Akumulace radiofarmaka ve svalech znehodnocuje vy\u0161et\u0159en\u00ed.)<br \/>\nV den vy\u0161et\u0159en\u00ed vynechat \u017ev\u00fdka\u010dky, bonbony apod. (Doch\u00e1z\u00ed k akumulaci radiofarmaka ve \u017ev\u00fdkac\u00edch svalech.)<br \/>\nV p\u0159\u00edpad\u011b parenter\u00e1ln\u011b pod\u00e1van\u00e9 v\u00fd\u017eivy nebo infuz\u00ed s obsahem gluk\u00f3zy je nutno p\u0159eru\u0161it pod\u00e1v\u00e1n\u00ed nejm\u00e9n\u011b 4 hodiny p\u0159ed vy\u0161et\u0159en\u00edm.<br \/>\nPacient mus\u00ed b\u00fdt 30-60 min. v tepeln\u00e9m komfortu k zamezen\u00ed\u00a0 kumulace radiofarmaka v tzv. hn\u011bd\u00e9m tuku (tepl\u00e9 oble\u010den\u00ed zvl\u00e1\u0161t\u011b v zimn\u00edm obdob\u00ed po dobu transportu). Na odd\u011blen\u00ed se pacient zdr\u017e\u00ed (p\u0159i aplikaci kontrastn\u00ed l\u00e1tky i. v.) a\u017e 3 hodiny, proto je vhodn\u00e9 vz\u00edt si s sebou dostatek tekutin, lehkou stravu a nap\u0159\u00edklad knihu \u010di tablet apod.<br \/>\nU pacient\u016f s hyperthyre\u00f3zou je optim\u00e1ln\u00ed proveden\u00ed vy\u0161et\u0159en\u00ed\u00a0 PET\/CT s aplikac\u00ed kontrastn\u00ed l\u00e1tky i. v. ve stavu kompenzace p\u0159\u00edslu\u0161n\u00fdmi thyreostatiky.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>P\u0159\u00edprava pacienta s polyvalentn\u00ed alergi\u00ed, s asthma bronchiale:<\/strong><\/h5>\n<p>Premedikace Prednisonem tbl. p. o.: 40 mg 12-18 hodin a 20 mg 6-9 hodin p\u0159ed aplikac\u00ed kontrastn\u00ed l\u00e1tky.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>P\u0159\u00edprava pacienta s diabetem (DM):<\/strong><\/h5>\n<p>Vhodn\u00e1 je konzultace s diabetologem, doporu\u010den\u00e1 hladina glykemie je do 8 mmo\/l, pacient si s sebou p\u0159inese l\u00e9ky, p\u0159esn\u00edd\u00e1vku a neslazen\u00fd n\u00e1poj.<br \/>\nU pacient\u016f u\u017e\u00edvaj\u00edc\u00edch peror\u00e1ln\u00ed antidiabetika (PAD) na b\u00e1zi metforminu je doporu\u010deno vysadit l\u00e9k v\u00a0den v\u00fdkonu s\u00a0pod\u00e1n\u00edm j\u00f3dov\u00e9 kontrastn\u00ed l\u00e1tky u pacient\u016f s\u00a0eGFR 30-60 ml\/min\/1,73 m2. Zkontrolovat eGFR za 48 hodin po v\u00fdkonu a znovu nasadit metformin kdy\u017e je ren\u00e1ln\u00ed funkce ust\u00e1len\u00e1 (v\u016f\u010di v\u00fdchoz\u00edm hodnot\u00e1m p\u0159ed v\u00fdkonem nezm\u011bn\u011bna). U ostatn\u00edch PAD vysadit medikaci v den vy\u0161et\u0159en\u00ed (s sebou si pacient p\u0159inese vhodnou p\u0159esn\u00edd\u00e1vku).<br \/>\nDiabetik na inzulinoterapii si inzul\u00edn r\u00e1no v den vy\u0161et\u0159en\u00ed neaplikuje a dodr\u017e\u00ed dobu la\u010dn\u011bn\u00ed 6 hodin. Rann\u00ed d\u00e1vku inzul\u00ednu si aplikuje po vy\u0161et\u0159en\u00ed a sou\u010dasn\u011b se nasn\u00edd\u00e1\u00a0 (inzul\u00edn a sn\u00eddani si p\u0159inese\u00a0 sebou).<br \/>\nDiabetik s inzul\u00ednovou pumpou vypne za\u0159\u00edzen\u00ed cca 4 hod. p\u0159ed vy\u0161et\u0159en\u00edm.<br \/>\nU diabetik\u016f je \u017e\u00e1douc\u00ed kvalitn\u00ed hydratace vodou.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>P\u0159\u00edprava pacienta k vy\u0161et\u0159en\u00ed PET\/CT myokardu:<\/strong><\/h5>\n<ul>\n<li>Vynechat vy\u0161\u0161\u00ed fyzickou z\u00e1t\u011b\u017e po dobu 24-48 hodin p\u0159ed vy\u0161et\u0159en\u00edm.<\/li>\n<li>Vynechat tuky ve strav\u011b od ve\u010dera p\u0159edchoz\u00edho dne.<\/li>\n<li>Lehk\u00e1 sn\u00eddan\u011b \u2013 uhlohydr\u00e1ty, bez tuku.<\/li>\n<li>Pacient s DM nen\u00ed v u\u017e\u00edv\u00e1n\u00ed PAD \u010di inzul\u00ednu limitov\u00e1n.<\/li>\n<\/ul>\n<p>Pokud ji\u017e v minulosti pacient absolvoval vy\u0161et\u0159en\u00ed PET\/CT, PET\/MRI, CT nebo MRI v jin\u00e9m zdravotn\u00edm za\u0159\u00edzen\u00ed, pros\u00edme o p\u0159ilo\u017een\u00ed kopie v\u00fdsledku k \u017e\u00e1dance nebo o zasl\u00e1n\u00ed obrazov\u00e9 dokumentace, nejl\u00e9pe v elektronick\u00e9 podob\u011b (form\u00e1t DICOM), p\u0159\u00edpadn\u011b p\u0159eposl\u00e1n\u00ed do lok\u00e1ln\u00edho PACS.<\/p>\n<p><span style=\"font-size: 14px;\"><strong>Zru\u0161en\u00ed objedn\u00e1n\u00ed<\/strong><\/span> je nutno <span style=\"font-size: 14px;\"><strong>prov\u00e9st co nejd\u0159\u00edve na tel.\u00a0 <a href=\"tel:+420567157742\"><span style=\"text-decoration: underline;\">+420 567 157 742<\/span><\/a><\/strong><\/span>, nejpozd\u011bji den p\u0159ed pl\u00e1novan\u00fdm vy\u0161et\u0159en\u00edm (tento term\u00edn obratem vyu\u017eijeme pro jin\u00e9ho pacienta).<\/p>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":5,"featured_media":25041,"parent":25543,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"pgc_sgb_lightbox_settings":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[85],"class_list":["post-25605","page","type-page","status-publish","has-post-thumbnail","hentry","category-page-oddeleni"],"publishpress_future_action":{"enabled":false,"date":"2026-04-27 11:59:44","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages\/25605","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/comments?post=25605"}],"version-history":[{"count":0,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages\/25605\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages\/25543"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/media\/25041"}],"wp:attachment":[{"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/media?parent=25605"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/categories?post=25605"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}