Microsoft word - revised 2013 prepopik split-dose.doc
Maryland Diagnostic & Therapeutic Endo Center
621 Ridgely Avenue, Suite 101 Annapolis, MD 21401
You will receive sedation and must have a family member or friend who is 18 years old or older to accompany you and drive you home. A taxi is not an approved means of transportation without a family member or friend.
If you are diabetic contact the pre-op nurse at 410-224-3636 ext 496 to discuss medications.
Discontinue iron supplements, and all vitamins, minerals and herbal supplements. Avoid fish oil, corn, seeds, nuts and popcorn.
PATIENTS TAKING COUMADIN, PLAVIX, PRADAXA, ASPIRIN OR ANY OTHER BLOOD THINNERS, PLEASE CONTACT YOUR
PRESCRIBING PHYSICIAN AND YOUR GASTROENTEROLOGIST FOR INSTRUCTIONS.
Unless otherwise instructed STOP Plavix; Coumadin; Pradaxa; and any other blood thinners. STOP all aspirin and aspirin products, NSAIDS (Ibuprofen, Advil, Motrin, Naproxen, Aleve, Celebrex) unless on these medications for medical conditions other than arthritis or pain management; use Tylenol if needed.
DO NOT EAT ANYTHING SOLID THE ENTIRE DAY TODAY (day before your procedure); OR TOMORROW (day of your procedure) UNTIL AFTER YOU PROCEDURE IS COMPLETE!! For example: If your procedure is Monday, then you will drink clear liquids only on Sunday, NO SOLID FOODS!
** Hold ALL Aminosalicylates (Colazal, Asacol, Canasa, Rowasa, Dipentume and Azulfidine) **
IGNORE INSTRUCTIONS ON THE PACKAGING AND FOLLOW THE INSTRUCTIONS BELOW.
1. DRINK CLEAR LIQUIDS ALL DAY. Refer to page 2 for CLEAR LIQUID DIET. (If preferred, mix solution ahead of time and
refrigerate before drinking. See step 2 for instructions for mixing.)
2. At 6pm begin by filling the dosing cup with 5oz of cool water to the lower line on the cup. Pour 1 powder packet
into the dosing cup. Stir 2-3 minutes and drink the prep solution. Follow the prep solution with five (5) 8oz cups of clear liquid. Use the dosing cup to measure your clear liquid and fill to the top line. Drink one (1) 8oz cup of clear liquid every 15 minutes until done. It should take you 1 ½ hour to complete the prep.
You are allowed to have sips of clear liquid up to 4 hours prior to your arrival time. Please refer to page 2 for the acceptable clear liquid diet.
Absolutely NO Chewing Gum, Throat Lozenges, Candy or Mints are allowed the day of your procedure.
Reminder: Please take your Blood Pressure Medications, Antibiotics, PPI/Acid Blockers and H2Blockers medication (Prevacid, Aciphex, Protonix, Prilosec, Zegerid, Pepcid, Zantac, Kapidex & Dexilant) the morning of your procedure unless instructed. Do not take any liquid antacids (Maalox, Mylanta, Pepto-Bismol, or Carafate/Sucralfate).
1. IF YOUR PROCEDURE IS BEFORE OR AT 11AM: At 4am add 5oz of cool water to the lower line of the dosing cup. Pour in 1
powder packet. Stir 2-3 minutes and drink the prep solution. Follow the prep solution with three (3) 8oz cups of water. Use the dosing cup to measure your water and fill to the top line. It should take you 1 hour to complete the prep.
2. IF YOUR PROCEDURE IS AFTER 11AM: Repeat step 1 from above and begin drinking at 6am. It should take you 1 hour to
Your stool should be light yellow/orange to clear with no solid particles. If it is not, please take an extra bottle of Magnesium Citrate the morning of your procedure. Strict compliance with the colon prep is necessary to have a complete exam and avoid missed lesions.
Orange, yellow or green Jell-O without fruit
AVOID ANYTHING COLORED RED, PURPLE OR BLUE.
We require a 48 hour notice for cancellations or to reschedule a procedure. If you do not provide a
48 hour notice you will be responsible for a $100.00 missed procedure fee.
Frequently asked questions: Q: What do I do if I become nauseated or begin vomiting? A: A few things that patients have found helpful are; chilling bowel prep solution in the refrigerator, using flavoring packs (if your prep provided this), and using a straw. If you experience nausea, stop drinking for 30 minutes and then restart.
Q: Why can’t I drive myself home? A: You cannot drive yourself home because you will receive sedation. If you need to use a taxi or driver service, you will still need an adult companion (18yo or older) to accompany you.
Q: Is alcohol considered a clear liquid? A: No.
Q: Can I have anything to drink after midnight before my procedure? A: No, nothing, unless it is included in the prep. You may take your heart, blood pressure, seizure, asthma or acid reducing medications with a small sip of water.
Q: When will I be notified of my biopsy results? A: If biopsies were taken at the time of your colonoscopy, you will receive a letter or a phone call with your results and recommendations typically within two weeks. If you have not heard from us in 2 weeks you may call 410-224-4887.
If you have any questions, please refer to our website first
(www.mdtecmd.com or www.dda.net), or call:
DIAGNOSTIC HINTS AND TREATMENT GUIDELINES FOR LYME AND OTHER TICK BORNE ILLNESSES JOSEPH J. BURRASCANO JR., M.D. Fourteenth Edition November, 2002 Copyright, November, 2002 INTRODUCTION Welcome to the fourteenth edition of the “Guidelines.” With the passage of time, our understanding of tick-borne illness has grown, so new information is presented to help u
The Parallel Paradigms1 of Pesach2 & Purim3 In each of our lives there are defining moments when we find ourselves faced with a predicament of unimaginable magnitude. In the midst of circumstances that are so completely out of our control that it seems as though hell itself is bent on our destruction. The Biblical feasts of Passover and Purim present powerful, yet practical parallel paradi