Download You have been scheduled for an Upper Endoscopy

SHANDS
Patient Name:
Med. Rec.#
PROCEDURE DATE:
ARRIVAL TIME:
Endoscopy
LOCATION:
□Shands Endoscopy Center
2001 SW 13th Street
Gainesville, FL 32608
□
Shands at UF
1515 SW Archer Road
Gainesville, FL 32610
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Colonoscopy
You have been scheduled for a Colonoscopy to examine your large bowel(colon). It will be
necessary for you to prepare your bowel prior to the procedure. For this preparation, you have
been given a prescription called NuLytely, GoLytely, CoLyte or TriLyte.
This prep is not absorbed by your body but rinses solid matter from your colon. You should
expect to empty your bowel frequently.
THE DAY OF YOUR PROCEDURE:
1. Bring with you:
a. Adult driver that MUST remain with you until you are discharged home (please plan to be here
approximately 2-4 hours)
b. Driver’s License or Picture ID with full name and date of birth and insurance cards
c. Written List of Current Medications
d. Advanced Directive / Living Will if available
e. If you have Sleep Apnea, please bring your CPAP machine with you
2. Wear loose, comfortable clothing
3. Remove ALL jewelry
4. Leave ALL valuables at home
5. See medication instructions below
MEDICATION INSTRUCTIONS:
1. Take your heart, blood pressure, pain meds, seizure and Parkinson’s medication with sip of water
2 hours prior to arrival time
2. If Diabetic: Do NOT take diabetic pills evening prior or morning of procedure. Cut insulin dose in
half the night prior to procedure and HOLD any morning insulin dose the day of procedure
3. Do not take any iron supplements for 7 days prior to procedure
4. If you are on blood thinners (Aspirin, Coumadin, Plavix or Pradaxa), and we have not given you
instructions, please contact the physician that prescribed the med for further instructions
PREP INSTRUCTIONS:
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Clear Liquid diet for the entire day the day prior to procedure: NO SOLID FOOD AT ALL
Drink clear fluids each hour to stay hydrated up until Midnight (or bedtime)
At 3pm,Start ½(64oz.) of GoLytely: 8oz. glass every 10-15min until done; Complete within 1 ½ hrs
At 9pm:Start second ½ of GoLytely: 8oz. glass every 10-15min until done. MUST complete prior
to Midnight.
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NOTHING AFTER MIDNIGHT (No food, no liquids, no water)
EXAMPLES OF CLEAR LIQUID DIET:
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Clear or strained fruit juices: NO Red, Orange or Purple in color
Clear broth, bouillon or consomme’
Clear gelatin, popsicles, or fruit-flavored ices: NO Red, Orange or Purple in color
 Coffee, tea, carbonated drinks, Kool-Aid or Gatorade: No Red, Orange or Purple in color
CONTACT US:
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For scheduling or pre-procedure questions, please call (352)265-ENDO (3636)
NOTE: If your procedure is being done at Shands at UF, you will receive a phone call from the
Presurgical Clinic (265-0076) to make appointment prior to procedure. If you do not attend this preop
appointment, your procedure could be delayed or cancelled.
Colonoscopy instructions 2012
Colonoscopy instructions 2012