Cololonscopy Preparation Instructions with SuPrep

Transcript

1 Colonoscopy Preparation Instructions with SuPrep ot following the instructions below may result in your procedure being cancelled and rescheduled. IMPORTANT: N 1. Eating solid foods the day before your procedure may result in a suboptimal procedure. of the 2. No eating or drinking anything 3 hours prior to the procedure or your procedure will be delayed until the end . day You need a 3. with a valid unrestricted driver’s license to take you home. You are not responsible adult age 18+ Uber . permitted to take a taxi, bus, or service like DO NOT 4. Follow ONLY the instructions given by your gastroenterologist or on this instruction sheet. follow instructions from any other source including the instructions on your prep bottle /box . If a polyp is removed, procedure. This is we recommend no international travel for 2 weeks after your colonoscopy 5. due to the potential risk of bleeding if large polyps are removed. Check with your gastroenterologist if you’re planning to travel internationally. 6. A successful prep is when your bowel movement is a clear yellow liquid. Seven (7) days before your procedure: OKAY/APPROVED: STOP: Any regular medications (especially blood 1. physician 1. Aspirin unless prescribed by a pressure and/or cardiac medications) 2. NSAIDS including: Ibuprofen (Motrin, Advil), 2. Acetaminophen (Tylenol) Naproxen (Aleve, Naprosyn), and similar 3. Foods such as meat (chicken, pork, beef), fish, medications tofu, white bread, white rice, noodles, yogurt, All seeds, nuts, popcorn, Iron supplements. 3. fruits and vegetables (remove skin and seeds), In the event you have taken any of the above , please pasta, eggs, pancakes, cheese and dairy day stop taking them and let your physician know on the products of your procedure. You will receive additional instructions, guided by your prescribing physician, if you are taking: • Blood thinner medications such as Warfarin (Coumadin), Heparin, Lovenox, Plavix, Aggrenox, Ticlid, Pradaxa Diabetes medications • The ENTIRE day before your procedure: : STOP (in addition to above) OKAY/APPROVED: Any regular medications (especially blood 1. 1. Any solid food pressure and/or cardiac medications and 2. Dairy Products acetaminophen (Tylenol) 3. Alcohol 2. Water and clear liquids including: apple, white grape, white cranberry, Juices: lemonade Broth: chicken, beef or vegetable 7- Up, Coke Soda: Other: black coffee, tea, popsicles, jello, sports drinks solution. SUPREP Drink first dose of your procedure: day before 6 PM the 1. Pour -ounce bottle of SUPREP liquid into the mixing container. (1) 6 one 2. ounce line on the container and mix. Add cool drinking water to the 16- . the liquid in the container all Drink 3. 4. ounce containers of water over the next hour. - You must drink two (2) more 16 ...Continues on back page

2 The day of your procedure: . from when you wake up in the morning Continue your clear liquid diet  Make sure to drink clear . liquids throughout the day to keep yourself well hydrated   Take your regularly prescribed morning medications (with a small sip of water) unless instructed otherwise . SUPREP solution Drink the second dose of 5 hours before your scheduled procedure time: . second 6- ounce bottle of SUPREP liquid into the mixing container . our the remaining P 1. dd cool drinking water to the 16- ounce line on the container and mix . 2. A D . the liquid in the container all rink 3. . over the next hour ounce containers of water You must drink two (2) more 16 - 3 hours before your scheduled procedure time :  No eating or drinking until after your procedure or your procedure will be delayed until the end of the . day  have any problems with yo ur . If you A successful prep is when your bowel movement is a clear yellow liquid . ep after hours (it doesn’t work, or you throw it up, etc.) please call the gastroenterologist on call pr * P Questions during business hours of 8am to 5:30 pm? ine for your appointment Scheduler l lease call the GI center below : San Carlos : (888) 729 -7554 -1890 Palo Alto : (888 )729 -1890 Fremont : (510 )498 -2148 Mountain View : (650 )934 * Select the option to speak to an operator at your appointment center and Questions after business hours? ask for GI Doctor on call: Mountain View 2972 : (510)498 -7575 : (650)934 San Carlos : (650)596 : (650) 853- -4130 Palo Alto -2395 Fremont (Scheduler please circle procedure location) Facility: Surgery Center Mountain View Surgery Center Fremont Surgery Center Palo Alto Surgery Center of San Carlos 701 E. El Camino Real ey St 3120 Kearn 795 El Camino Real 301 Industrial R d, San Carlos, CA 94070 o Alto, CA 94301 Fremont, CA 94538 Mountain View, CA 94040 Pal (Level 1) (First Floor) (Jamplis Building, Level A) Floor) (First Make sure to drink clear liquids throughout the day to keep yourself well hydrated. *** PLEASE CALL YOUR PHYSICIANS OFFICE AT LEAST 7 DAYS PRIOR TO YOUR PROCEDURE IF YOU NEEED TO CANCEL OR RESCHEDULE. *** Appointment Date: __ Arrival Time: ______________ AM/PM _________________________ Procedure Time: ___________ AM/PM Doctor: ____________________________________

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