Download Preperation For Colonoscopy

Preparation For Colonoscopy Using NuLytely or TriLyte
Three Days Before Colonoscopy
Omit fruits and vegetables with seeds or foods that are high in fiber from your diet. Examples include:
cucumbers, tomatoes, corn, raspberries, whole grain breads and cereals, popcorn, and nuts.
Do not take Metamucil or similar fiber products. Do not take iron tablets, aspirin, or Plavix. NSAID
medications such as ibuprofen (Advil, Motrin) and naproxen (Aleve, Naprosyn) should not be taken for 24
hours prior to your procedure. If you are on coumadin, your doctor usually will direct you to hold the
medication for 3 days.
Fill your prescription in advance just in case your drug store is out of stock and has to order your medication.
Generic versions of NuLYTELY or TriLyte are fine.
One Day Before Colonoscopy
Drink clear liquids only all day. Examples include: water, black coffee, tea, soda, apple juice, beef broth,
chicken or vegetable broth, grape juice, Gatorade, Jell-O or Popsicles. Please exclude liquids that are RED in
color. Ensure or Boost (any flavor, no fiber) although not clear, is acceptable and can be purchased without a
prescription at any drug store. Diabetics may drink Glucerna (no fiber). Drink PLENTY of fluids throughout the
day to prevent dehydration. You will feel better and will make it easier for your nurse to find a vein for your
I.V. in the morning!
At 5:00 p.m. begin drinking the NuLYTELY or TriLyte. Other than flavor packets that are included with
NuLYTELY or TriLyte, do not add any flavoring or sweeteners to the prep. You should drink it at the rate of
one 8-ounce glass every ten minutes. Drinking at this rate will give you the best cleaning results. If you wish,
you may suck on a lemon or lime (don’t eat the pulp) between glasses. Sometimes drinking the liquid through a
straw helps to keep the taste of the solution off your tongue. If you find the taste unpleasant, you might want to
rinse your mouth out with water of mouthwash between glasses.
You must drink the entire gallon of NuLYTELY or TriLyte. Drinking any large volume of cold fluids may
cause chills. To reduce this risk, pour several 8-ounce glasses at once and allow them to warm slightly before
drinking them.
You may feel very full or bloated until your bowels begin to move. The first bowel movement usually occurs in
about an hour, but this can vary. If you develop significant nausea or vomiting, take a break from taking more
medications for about 30 minutes and then try again when you feel better. If you still cannot tolerate the liquid,
call our office (630-xxx-xxxx) and have the doctor on-call paged. If you don’t hear from him within 30 minutes,
have him paged again.
After you finish taking the prep, you may have clear liquids up to 4 hours prior to your examination. Remember
that you’ll feel better with extra fluids. You will continue to have bowel movements for some time. Your final
stools should be very watery, yellow in color, maybe a little cloudy but you should be able to see the bottom of
the toilet. If your stools are not clear, you should give yourself 2 to 3 adult-sized Fleet enemas which can be
purchased without a prescription at any drug store.
Please bring a list of current medications with you. Ladies! Please come with one fingernail on your right
hand free of nail polish so we can monitor your oxygen level.
Preparation For Colonoscopy Using Gatorade/MiraLAX
Three Days Before Colonoscopy
Omit fruits and vegetables with seeds or foods that are high in fiber from your diet. Examples include: cucumbers,
tomatoes, corn, raspberries, whole grain breads and cereals, popcorn, and nuts.
Do not take Metamucil or similar fiber products. Do not take iron tablets, aspirin, or Plavix. NSAID medications
such as ibuprofen (Advil, Motrin) and naproxen (Aleve, Naprosyn) should not be taken for 24 hours prior to your
procedure. If you are on coumadin, your doctor usually will direct you to hold the medication for 3 days.
Have your prescription for Polyethylene Glycol (generic MiraLAX) filled if your insurance covers it. Otherwise,
purchase a 510 gm bottle of MiraLAX which is available over the counter. Also purchase 64 oz of Gatorade and
refrigerate it. Any flavor is fine as long as it is not red in color.
One Day Before Colonoscopy
Drink clear liquids only all day. Examples include: water, black coffee, tea, soda, apple juice, beef broth, chicken or
vegetable broth, grape juice, Gatorade, Jell-O or Popsicles. Please exclude liquids that are RED in color. Ensure or
Boost (any flavor, no fiber) although not clear, is acceptable and can be purchased without a prescription at any drug
store. Diabetics may drink Glucerna (no fiber). Drink PLENTY of fluids throughout the day to prevent dehydration.
You will feel better and will make it easier for your nurse to find a vein for your I.V. in the morning!
At noon, mix 12 oz of any clear liquid with 3 capfuls (51grams) of the MiraLAX and drink. Take the 2 pills provided
(placebo or bisacodyl laxative). Continue with lots of clear liquids until 2:00 PM, then fast for 3 hours.
At 5:00 PM, mix 64 oz of Gatorade with 15 capfuls (255 grams or 1 ¼ cups) of MiraLAX. Start drinking the liquid
at the rate of one 8 oz glass every ten to twenty minutes. Drinking at this rate will give you the best cleaning results.
If you find the taste unpleasant, you might want to rinse your mouth out with water or mouthwash between glasses.
Sometimes drinking the liquid through a straw helps.
You must drink the entire 64oz! Drinking any large volume of cold fluids may cause chills. To reduce this risk, pour
several 8 oz glasses at once and allow them to warm slightly before drinking.
You may feel very full or bloated until your bowels begin to move. The first bowel movement usually occurs in
about an hour, but this can vary. If you develop significant nausea or vomiting, take a break from drinking for about
30 minutes and then try again when you feel better. If you still cannot tolerate the drink, call our office (630-xxxxxxx) and have the doctor on-call paged. If you don’t hear from him within 30 minutes, have him paged again.
After you finish drinking the prep, you may have clear liquids up to 4 hours prior to your examination. Remember
that you’ll feel better with extra fluids and your I.V. will be easier to start. You will continue to have bowel
movements for some time. Your final stools should be very watery, yellow in color, maybe a little cloudy but you
should be able to see the bottom of the toilet. If your stools are not clear, you should give yourself 2 to 3 adult sized
Fleet enemas which can be purchased without a prescription at any drug store.
Please bring a list of current medications with you. Ladies! Please come with one fingernail on your right hand
free of nail polish so we can monitor your oxygen level.
Gatorade with or without Bisacodyl vs NuLYTELY for Colonoscopy Preparation
Patient Questionnaire
Patient Name: __________________________________
Patient Study ID #: _______________
While cleaning yourself out for the colonoscopy, did any of the following problems occur:
Nausea: none
mild
moderate
severe
Vomiting: none
mild
moderate
severe
Abdominal Cramps/Pain: none
mild
moderate
severe
Bloating: none
mild
moderate
severe
Did any other problems occur during your preparation for your colonoscopy?
How much of your NuLYTELY (or TriLyte) or Gatorade were you able to drink?
All or
_________________________________
OR
How many ounces of liquid were left after you were done drinking? None or _____________________
Did you need to call the doctor for advice or help? Yes or No
Did you need to take any enemas in the morning of your colonoscopy? Yes or No How Many? _____
Did you need to change your medicine to clean out your colon because you could not drink it all?
Yes or No
Did you wake up in the middle of the night to have a bowel movement? Yes or No
When was your last bowel movement? __________________________
If you needed to have another colonoscopy in the future, would you want to use the same liquid
preparation? Yes or No
How difficult was it to drink the liquid? Easy
Mildly Difficult
Overall, how difficult was the preparation? Easy
Moderately Difficult
Mildly Difficult
Moderately Difficult
Very Difficult
Very Difficult
Have you ever had a colonoscopy before? Yes or No
If you have had a previous colonoscopy:
A. What did you use to clean yourself out last time? _________________________________
If you don’t remember the name, describe what it was. For example, “gallon of liquid”, “pills”, etc.
B. How did your current preparation compare to the previous one? The prep I took yesterday was :
Easier
About The Same
More Difficult compared to the previous one.
Gatorade with or without Bisacodyl vs NuLYTELY for Colonoscopy Preparation
Doctor Questionnaire
Patient Name: __________________________________
Age: ____________
Clinical Site: HH
Sex: M or F
GS
LaG
GS-Office
Patient Study ID #: _______________
Race: C AA H Other
Scheduled Starting Time: ______________
History of Creatine ≥1.30? Yes or No
History of Heart Failure? Yes or No
Indication:
Screening h/o Polyps h/o Colon Cancer FH Colon Neoplasia Rectal Bleeding
Long Standing IBD Anemia Other: ____________________________________
Findings: ______________________________________________________________________________
Previous Colon Resection? Yes or No
If Yes, Site of Resection: ________________________
Was the Cecum Reached? Yes or No
If No, Extent of Colonoscopy: ___________________
Boston Bowel Preparation Scale (BBPS)
0=Unprepared colon segment with stool that cannot be cleared
1=Portion of mucosa in segment seen after cleaning, but other areas not seen due to retained material
2=Minor residual material after cleaning, but mucosa of segment generally well seen
3=Entire mucosa of segment well seen after washing
BBPS Right Colon: 0
BBPS TV Colon:
0
BBPS Left Colon: 0
1
1
1
2
2
2
3
3
3
Ottawa Preparation Scale (OPS)
4=Inadequate (Solid stool not cleared with washing and suctioning)
3=Poor (Necessary to wash and suction to obtain a reasonable view)
2=Fair (Necessary to suction liquid to adequately view segment)
1=Good (Minimal turbid fluid in segment)
0=Excellent (mucosal detail clearly visible)
OPS
OPS
OPS
OPS
Right Colon:
TV/Descending Colon:
Sigmoid Colon/Rectum:
Fluid Whole Colon:
4 3 2 1
4 3 2 1
4 3 2 1
2=lots of fluid
0
0
0
1=moderate fluid
0=little fluid
Did you consider the preparation adequate for a good quality colonoscopy? Yes or No