Fleet s Phospho soda Oral Preparation Saline Laxative Preparation Colonoscopy by theslasher

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									                  Fleet’s Phospho-soda Oral Preparation Saline Laxative Preparation


    Colonoscopy Procedure Preparation
Appointment Date: ____________________                  Doctor: _____________________________

Arrival Time: _________________________                 Appointment Time: ____________________


Location
   Providence Saint Joseph Medical Center                     Alameda Surgery Center
   501 S. Buena Vista                                         2601 W. Alameda Ave., Ste. 312
   Burbank, CA 91505                                          Burbank, CA 91505
   818 843-5111                                               818 842-9728
   Check in at admitting in the
   main lobby of the hospital.



General Information                                        Five days prior to your procedure,
• You must arrive 1½ hours before your                     STOP:
  scheduled appointment, or as instructed. Your            Aspirin and aspirin-containing products. Anti-
  entire stay at the facility will be approximately 2      inflammatory medications (such as ibuprofen,
  to 3 hours.                                              naproxen, Motrin, Advil and Aleve).
• You are not allowed to take a taxi or public             Acetaminophen (Tylenol) can be substituted as a
  transportation home after your procedure.                pain reliever for aspirin. Iron and/or Metamucil
                                                           should also be stopped five (5) days prior to the
• A friend or relative will need to accompany you
                                                           procedure.
  out of the facility and drive you home.
• Someone will need to stay with you for at least          Coumadin (Warfarin) medication. If you have an
  one hour after you are discharged to ensure              artificial heart valve you should talk with your
  there are no problems from the sedation or               primary care physician (PCP) or cardiologist about
  procedure.                                               using an alternative anticoagulant.
• Leave valuables, including jewelry, at home.
• Wear comfortable clothing.                               Avoid eating nuts, seeds, beans and foods with a
• After your procedure, do not drive a car for the         peel (such as grapes or tomatoes) as fibers can
  remainder of the day or make any important               clog the colonscope.
  decisions until the following day.
                                                           One day prior to your procedure:
Appointments                                               Start clear liquids in the morning and drink only
                                                           clear liquids all day. Clear liquids such as:
All procedures are scheduled through our office.
If you do not receive a procedure verification call        • Coffee (no cream)
from our office within five days of the procedure,         • Tea
or if you need to cancel your appointment, please          • Soda
call our office at 818 295-6944.                           • Gatorade
                                                           • Clear juices (apple, white grape or white
Medication & Diet Instructions                                cranberry)
Take usual morning medicines, especially those             • Clear broth
for blood pressure, at least six hours prior to your       • Popsicles
procedure with a small amount of water.                    • Lemon Jell-O (no red, blue or green flavors)

                                 Valley Gastroenterology Specialists
                   2601 W. Alameda Ave., Ste. 101 • Burbank, CA 91505 • 818 295-6944
Diabetic patients                                         BETWEEN DOSES
Please confer with your primary care physician            • Drink at least two more glasses (24 fl. oz.) of
(PCP) about adjustments to medications while on             clear liquids. You may drink more if you wish.
a clear liquid diet.
                                                          HOW TO MIX DOSE 2
Bowel Preparation                                         • Taken 3½ hours before you leave for your
Consider using petroleum jelly around the anal              procedure:
opening prior to starting your bowel prep and             • Pour 12 fl. oz. of clear liquid into a glass.
after each bowel movement to minimize irritation.         • Add 2 FULL measured tablespoons (1.0 fl. oz.)
                                                            of Phospho-soda from the second bottle.
Purchase Fleet’s Phospho-
                                                          • Do not use the full bottle. You will have one
soda Oral Preparation
                                                            third (1/3) of the liquid left in your bottle.
Saline Laxative, two 1½ fl.
oz. bottles, at any drug                                  • Mix well and drink all the contents in the glass.
store.                                                    • Drink at least one more glass (12 fl. oz.) of
                                                            clear liquid.

The Day Before Your
Procedure                                                 Day of your Procedure
                                                          Do not eat any solid foods. Take usual morning
It takes two doses of laxative to cleanse your
                                                          medicines, especially those for blood pressure, at
colon for the procedure.
                                                          least six hours prior to your procedure with a
                                                          small amount of water.
Do not eat any solid foods.
                                                          You may have clear liquids up until six hours prior
HOW TO MIX DOSE 1
                                                          to your procedure. If you drink within six hours of
Taken at 6 p.m. the evening before your bowel
                                                          your scheduled procedure, your appointment will
procedure:
                                                          be cancelled without exceptions.
• Pour 12 fl. oz. of clear liquid into a glass.
• Add one bottle (1.5 fl. oz. or 45 ml.) of
   Phospho-soda.
• Mix well and drink all the contents in the glass.




                                        2601 W. Alameda Ave., Ste. 101
                                             Burbank, CA 91505
                                                818 295-6944

								
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