Cardiac CT Angiography Questions Form

Cardiac CT Angiography - Client Services
Name
Name
Have you ever had a CT scan with dye/contrast before?
Have you ever had an anaphylactic reaction to anything before?
Do you have an allergy to Beta Blockers?
Do you have an allergy to CT Contrast Dye?
Do you have a history of limited kidney function?
Are you diabetic?
If yes, do you take metformin?
Do you have a personal history of asthma?
If yes, do you take daily medication?
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