Download MIRALAX-GATORADE CONOSCOPY PREP

Dr. Gregory Schnell, Dr. James M. Walden
2790 Clay Edwards Drive Suite 1210, North Kansas City, MO 64116
Phone: (816) 527-0031 Fax: (816) 527-0096
LOCATION:
NORTH KANSAS CITY HOSPITAL
2790 CLAY EDWARDS DR
HEALTH SERVICES PAVILION
CHECK IN ON THE 7TH FLOOR – GI LAB
PATIENT:_______________________
DATE: ________________________ CHECK IN TIME:____________________________
MIRALAX-GATORADE CONOSCOPY PREP
IN ORDER FOR THE DOCTOR TO PERFORM A COLONOSCOPY, A BOWEL
“CLEANOUT” MUST BE COMPLETED AT HOME PRIOR TO THE PROCEDURE. A
BOWEL “CLEANOUT” IS A COMBINATION OF CLEAR LIQUID DIET AND ORAL
LAXATIVES. ALL OF THE ITEMS CAN BE OBTAINED AT YOUR LOCAL PHARMACY
WITHOUT A PRESCRIPTION. YOU WILL NEED TO PURCHASE:
 ONE 238-GRAM BOTTLE OF MIRALAX LAXATIVE
 A SMALL BOX OF DUCOLAX TABLETS. NOT SUPPOSITORIES. YOU WILL
USE FOUR TABLETS.
 TWO QUARTS OR (64 oz) OF GATORADE
(DIABETICS MAY USE POWERADE ZERO OR CRYSTAL LIGHT)
FIVE (5) DAYS BEFORE THE PROCEDURESTOP TAKING ASPIRIN, IBUPROFEN, ADVIL, MOTRIN, ALEVE, MEDIPREN,
NAPROSYN, OR ANY OTHER “NON-STERIOD ANTI-INFLAMMATORY”
MEDICATION.
IF YOU ARE TAKING COUMADIN, WARFARIN, OR PLAVIX, PLEASE CONTACT
THE PRESCRIBING PHYSICIAN TO DETERMINE IF IT IS SAFE TO STOP THESE
MEDICATIONS PRIOR TO YOUR PROCEDURE; IF THEY FEEL IT IS NOT SAFE
TO STOP THESE MEDICATIONS PLEASE ADVISE US IMMEDIATELY SO WE CAN
FURTHER DISCUSS THIS MATTER WITH THEM.
IF YOU HAVE DIABETES, PLEASE CONTACT YOUR DOCTOR FOR INSTRUCTIONS
ON HOW TO TAKE ANY DIABETES-RELATED MEDICATIONS ON THE DAY BEFORE
THE PROCEDURE. YOUR DIETARY INTAKE WILL BE LOWER THAN USUAL AND WE
WANT TO AVOID ANY EPISODES OF LOW BLOOD SUGAR DURING THE PREP OR
THE PROCEDURE.
1 DAY BEFORE YOUR COLONOSCOPYFOLLOW THE INSTRUCTIONS BELOW THE DAY PRIOR TO YOUR PROCEDURE.
1. AFTER A LIGHT BREAKFAST SUCH AS ONE EGG AND ONE PIECE OF
WHITE TOAST, A CLEAR LIQUID DIET SHOULD BE STARTED. ALLOWED- WATER, TEA, COFFEE, SODA POP, CLEAR FRUIT JUICES, AND
FLAVORED DRINKS (CRYSTAL LIGHT, KOOL-AID) JELL-O, CHICKEN AND
BEEF BROTH, POPSICLES. NO SOLID FOOD AT ALL.
2. TAKE 2 DULCOLAX TABLETS AT NOON WITH A CLEAR LIQUID LUNCH.
3. ABOUT 4 HOURS AFTER TAKIN THE DULCOLAX TABLETS, MIX THE
ENTIRE 238-GRAM BOTTLE OF MIRALAX WITH TWO QUARTS OF
GATORADE IN A LARGE PITCHER. STIR WELL, AND ADD ICE. BE SURE TO
STIR THE SOLUTION UNTIL THE MIRALAX IS COMPLETELY DISSOLVED.
DRINK AN 8-OZ GLASS EVERY 10-15 MINUTES UNTIL THE SOLUTION IS
ENTIRELY GONE. REMAIN NEAR BATHROOM FACILITIES FOR THE
REMAINDER OF THE EVENING. (IF YOU FEEL NAUSEATED. STOP FOR
ONE HOUR). THEN RESUME.
4. AT 8:00 PM, TAKE THE LAST 2 DULCOLAX TABLETS.
5. CONTINUE DRINKING CLEAR LIQUIDS UNTIL BEDTIME.
6. DIABETICS WILL NEED AN ADJUSTMENT OF THEIR MEDICATIONS THIS
DAY. ASK YOU DOCTOR.
DAY OF COLONOSCOPYDO NOT TAKE ANY MORNING MEDICATIONS, UNLESS YOU ARE ON MEDICINES
FOR HEART DISEASE, HIGH BLOOD PRESURE, OR SEIZURES. YOU MAY TAKE
THESE MEDICATIONS WITH A SMALL SIP OF WATER-PLEASE TAKE THEM AS
EARLY AS YOU CAN, AT LEAST 3 HOURS BEFORE THE SCHEDULED TIME OF YOU
PROCEDURE.
PLEASE BRING ALL OF YOUR ROUTINE MEDICATIONS WITH YOU WHEN YOU
COME TO THE HOSPITAL.
IF YOU ENCOUNTER ANY PROBLEMS DURING THE PREP, PLEASE CALL THE ONCALL PHYSICIAN AT
816-527-0031.
**YOU ARE RESPONSIBLE FOR CALLING YOUR INSURANCE PROVIDER TO
CONFIRM:
- ARE THE HOSPITAL AND DOCTOR “IN NETWORK”?
- IS THE PROCEDURE A COVERED BENEFIT?*****
WEAR COMFORTABLE CLOTHING AND SHOES THAT ARE EASILY REMOVED.
LEAVE JEWELRY AND OTHER VALUABLE AT HOME. BRING YOU INSURANCE
CARD AND DRIVER’S LICENSE.