Microsoft word - preparation split movi-prep.docx

 
PREPARATION INSTRUCTIONS FOR 
COLONOSCOPY with SPLIT‐DOSE Movi‐Prep 
 
Do you have QUESTIONS or PROBLEMS completing the instructions? Call: 206‐242‐1300 
Appointment date: ____________ 
Appointment time: ____________ 
Location: _____________ 
 
BEFORE the procedure:
 Arrange a ride: you will be given medicine that makes you relax and be sleepy, so you cannot drive a car or take a bus home. If you arrive without an escort,
your procedure may need to be rescheduled.
 Stop taking iron, Vitamin E, ginko, ginger, aspirin and garlic  If you are taking Coumadin medicine or if you are diabetic, review your special instructions.  Purchase your Movi-prep and 2 over the counter Dulcolax tablets
3 DAYS BEFORE the procedure:
 Confirm your ride.
appointment, call your doctor or nurse. Failure to cancel 48 hr in advance will result in a $100.00 charge. for the next 2 days. Plan your meals according to this diet.
2 DAYS BEFORE the procedure:
medicines. These include: Nuprin, Bufferin, Anacin, Advil, Motrin, Indocin, Voltran, Aleve, Ecotrin, Relafen, Alka Seltzer, Naprosyn, Voltaren (Tylenol is okay to take)  At bed time take 2 (two) over the counter dulcolax tablets
 Do not eat any solid food after midnight.
1 DAY BEFORE the procedure:
 Start a strict, clear liquid diet. If you put a liquid in a clear glass, and you can see through it, it is probably OK to drink. A clear liquid diet can -Apple, white grape, and cranberry juices; -Beef or chicken broths that are clear; -Tea and coffee without milk; -Soda pop, Gatorade, Kool-Aid and various -Jell-O flavors (any color except red).  Avoid: juices with pulp, milk, cream and solid food. 6:00pm mix the Movi-Prep. Empty 1 Pouch A and 1 pouch B into disposable container. Add lukewarm drinking water to top line of the container. Mix to dissolve. Some prefer to chill the mixture by mixing this 24h ahead of time.  7:00pm: Start drinking the laxative (Movi-Prep) liquid. Drink one full glass every 20-30 minutes until it is gone. Try to drink one full glass at a time instead of sipping. A straw is frequently helpful. If you feel nauseated you may take an hour break.  10:00pm: drink 16 oz of the clear liquid of your choice. This is essential to ensure adequate hydration and an effective prep.  Continue to drink clear liquids until midnight as you wish but do not eat any solid food.  The laxative (Movi-Prep) liquid will cause you to have many bowel movements. This is needed so you have a clean colon for the procedure. If you have problems completing this preparation, call your doctor or nurse before 9pm.  Take nothing by mouth except water after midnight.
Do these things ON THE DAY OF the procedure:
 Take your normal medications with a sip of water, unless you were given  6:00am Mix more Movi-Prep. Empty 1 Pouch A and 1 pouch B into disposable container. Add lukewarm drinking water to top line of the container. Mix to dissolve. Some prefer to chill the mixture by mixing this 24h ahead of time.  6:30am: Start drinking the laxative (Movi-Prep) liquid. Drink one full glass every 20-30 minutes until it is gone. Try to drink one full glass at a time instead of sipping. A straw is frequently helpful. If you feel nauseated you may take an hour break.  9:00am Please drink 16 oz of the clear liquid of your choice. This is essential to ensure adequate hydration and an effective prep.  You may have water until 2 hours before the procedure.  Bring your escort/driver with you to your appointment.
 Arrive 30 minutes before your appointment time.
 The test will take 30-60 minutes. 

Source: http://www.doctorcmkramerjr.com/userfiles/file/BDHC_Colonoscopy_Split-Dose_Movi-Prep.pdf