Prepopik
Read by _____________________
Date of Colonoscopy_____________________
Arrival Time_____________________
Time of Colonoscopy_____________________
Last date to cancel without penalty ____________________
LOCATION:
________North Central Surgical Center
9301 North Central Expressway, Tower 1, 2nd floor ( follow signs to Endoscopy/Pain Management at the end of the hall)
Dallas, Texas 75231
Phone: 214.265.2810
________Medical City Hospital Dallas
7777 Forest Lane, Building A, Suite 242
Dallas, Texas 75230
Phone: 972.566.7076
________Park Cities Surgery Center
6901 Snider Plaza, #300
Dallas, Texas 75205
Phone: 214.706.6901
FIVE DAYS BEFORE COLONOSCOPY ____________________
*** Pick up your prescription for your prep; this was sent electronically to your pharmacy at the time of your visit with Dr Gottesman
*** Stop Coumadin ( warfarin ), Plavix ( clopidogrel) , Effient ( prasugrel ), and Aggrenox
*** Stop aspirin, Advil/Motin ( ibuprofen ), Aleve ( naproxen ) and most arthritis medication. Celebrex ( celecoxib ) is OK
*** Stop all supplements, vitamin E, fish oil, omega 3, iron, multivitamins
*** If you need to stop an anticoagulant, we will need approval from your cardiologist/ neurologist or hematologist to do so. Some patients may need to use a very short acting anticoagulant, up to one day prior to colonoscopy, to prevent blood clots
*** Tylenol ( acetaminophen) can be used for pain and headache
*** Make a list of all medications you take, and all allergies, including medication and food allergies, you have. You will take this list with you to the endoscopy center.
*** Arrange for a ride to and from the endoscopy center the day of your colonoscopy. You cannot drive for 1 day after colonoscopy
THREE DAYS BEFORE COLONOSCOPY ____________________
*** Stop Xarelto ( rivaroxaban ), Eliquis ( apixaban ), Pradaxa ( dabigatran), and Edoxaban ( savaysa )
TWO DAYS BEFORE COLONOSCOPY ____________________
*** Eat a low fiber diet. Fish, any meat or chicken, pasta, eggs, soy, and all beverages are OK. Avoid all fruit, vegetables, salad, nuts, popcorn, fiber supplements
*** Remove body piercings, to decrease the risk of a burn during colonoscopy
ONE DAY BEFORE COLONOSCOPY____________________
*** Consume clear liquids only, the entire day. You should eat no solid food. Drink at least 8 glasses of water, clear bullion, broth or consommé, Italian ices, popsicles, Jell-O, or clear fruit juices such as white grape juice or apple juice.
*** Do NOT drink any red liquids, or red jello.
*** DO TAKE your usual medications, including blood pressure, heart and anti seizure medications. Remember to avoid blood thinners which need to be stopped 3-5 days before colonoscopy ( see above)
*** DIABETICS: Take 1/2 of the usual morning dose of DIABETES medications, including insulin. Your blood sugar will be a bit high on this day.
*** AT 7:00 PM ( YES. IT MUST BE AT THIS TIME ), take the first half of your prep
Fill the cup provided in the kit with cold water to the lower 5 ounce line on the cup. Pour the contents of one packet into the water. STIR FOR 2-3 MINUTES, until the powder completely dissolves. The solution will turn clear when the powder is completely dissolved. Drink the entire 5 ounces. Then drink a MINIMUM of 40 ounces of water or clear juice over the next 1-2 hours. if you get nauseated, or vomit, stop drinking for 10-20 minutes, and resume drinking at a slower rate. Continue to drink clear liquids for the rest of the evening.
THE DAY OF YOUR COLONOSCOPY ____________________
*** At ____________________ AM (YES. IT MUST BE AT THIS TIME ), take the second half of your prep.
Fill the cup provided in the kit with cold water to the lower 5 ounce line on the cup. Pour the contents of one packet into the water. STIR FOR 2-3 MINUTES, until the powder completely dissolves. The solution will turn clear when the powder is completely dissolved. Drink the entire 5 ounces. Then drink a MINIMUM of 40 ounces of water or clear juice over the next 1-2 hours. if you get nauseated, or vomit, stop drinking for 10-20 minutes, and resume drinking at a slower rate.
*** You may continue to consume clear liquids until 3 HOURS PRIOR TO COLONOSCOPY. After that time, do not eat or drink anything except a small amount of liquid to take your daily medications
*** DO TAKE your usual medications, including blood pressure, heart and anti seizure medications. Remember to avoid blood thinners which need to be stopped 3-5 days before colonoscopy ( see above)
*** DIABETICS: Do not take insulin or oral medications this morning. Please bring them with you to the procedure, to take after you have eaten, following your colonoscopy