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Nu-LYTELY Preparation

Colonoscopy Bowel Preparation Instructions

 

About Colonoscopy    What to Bring     Patient Checklist    What to Wear    Directions and Parking    Prep Instruction Calendar    Clear Liquid Diet

our procedure is scheduled on ___________________ at ____________________AM / PM.
Please arrive 30 minutes early for registration.
                         
PLEASE READ ALL INSTRUCTIONS ON THE DAY YOU RECEIVE THEM
                         
About Colonoscopy                        
Bowel preparation (cleansing) is needed to perform effective colonoscopy.  Any stool remaining in the colon can hide lesions and result in the need to repeat the
colonoscopy.  You should plan to be at the hospital 2-4 hours.  It is critical that you follow the instructions as directed.      
                         
The physician will discuss your procedure with you when you are in the recovery room.  If you had any biopsies taken, you will receive a letter   
with those results, usually 2-3 weeks after the procedure.  If there are serious findings on the biopsy, your physician will contact you.  
                         
Every effort will be made to keep your appointment at the scheduled time, but in medicine, unexpected delays and emergencies may occur and your wait 
time may be prolonged.  We give each patient the attention needed for his or her procedure.          
                         
If you have questions or must cancel, please call 317-963-4040 or 1-877-962-4040 as soon as possible.        
 

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What to Bring

                        
                         
1.  The completed enclosed forms.                  
2.  The first and last name and address of all doctors you want to receive a copy of your procedure report.      
3.  Someone to drive you home.  Sedation is usually given during your procedure.  If you have not arranged for someone to drive you 
     home your procedure may be cancelled.  The person who signs you out must be with you on the unit before you can be released.
     You will not be able to drive, operate machinery, make important decisions or return to work for the rest of the day.  You may   
     resume normal activities the next day unless the doctor states otherwise.            
4.  A copy of relevant medical records from your referring physician.            
5.  Your insurance cards.  If your insurance has changed since your appointment was scheduled, please contact us immediately.  Many insurance 
     carriers (not Medicare) and managed care organizations require preauthorization or precertification.  To obtain coverage for these procedures, we
     recommend you contact your insurance company.  The phone number is usually on the back of your insurance card.  If you   
     need assistance, please call our authorization coordinator at 317-278-8660.          
6.  If you need an interpreter provided please contact the Gastroenterology Department at  317-963-4040 or 1-877-962-4040.  
 

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Patient Checklist
 

If you are affected by any of the conditions listed below, please follow these instructions.
Diabetes Check with your physician regarding your dose of insulin and other diabetic medications needed the day before and the day of your procedure.  Inform your doctor that you will be on clear liquids the day prior to your procedure.  Typically, we recommend that you do not take your oral hypoglycemic or insulin before your procedure.  Bring it with you to take after your procedure.  Check your blood sugar frequently while taking the prep solution and the morning of your procedure.
Hip or knee replacement in the past six months, vascular graft in past year, coronary stent in past 6 weeks You may need antibiotics before your procedure.  Please arrive two hours before your scheduled procedure time.  Do not schedule your procedure before 8:00am.  Please inform the nurse and your physician.
Aspirin If you are taking aspirin, please check with your referring or primary physician as to if or when you should stop taking the aspirin.  If you are taking aspirin due to a doctor's order to prevent stroke or heart attack, we generally recommend you continue to take it.
Coumadin, Plavix, Heparin, Lovenox, or other anticoagulants Ask the physician who prescribed your medicine how to take it before and after your procedure.  If you cannot contact your physician, call us several days before your exam.  If you take Coumadin, you may need a blood test two hours before your exam.
 

What To Wear
                         
Wear comfortable, loose fitting clothing that is easy to step into. Wear flat shoes or tennis shoes.  Do not wear jewelry or bring valuables.  
                         
Directions and Parking
                         
The endoscopy unit is located on the fourth floor of the Indiana University Hospital Outpatient Center, connected to Indiana University Hospital at   
550 N. University Boulevard, Indianapolis, IN.  Take the gold elevator from the main lobby in the outpatient center (under the glass canopy) to the  
fourth floor.  Turn left as you exit the elevator to the GI registration desk and waiting area.  Parking is available in the attached self-pay garage located 
on the north side of the entrance to the out patient center.  Clarian does not pay for patient parking.  Garages and parking lots are owned by IUPUI.
We apologize for any inconvenience this may cause.  Valet parking is available at the entrance of the Outpatient Center for $5.00 (no tipping).  
 

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Prep Instruction Calendar

  
If you think the prep is not working, call 274-5000 and ask for the GI nurse on call.  Do not take more than the prescribed dose of Nu-LYTELY.
5 days before 2 days before The day before  The day of
your colonoscopy your colonoscopy your colonoscopy your colonoscopy
Read all prep Complete forms sent from the  NO SOLID FOOD NO SOLID FOOD
instructions. endoscopy department. List all NO ALCOHOL NO ALCOHOL
  current medications, find insurance Clear liquids ALL DAY  
Contact prescribing  cards, get names and addresses  (attached) You may take your 
physician for instructions  of the physicians you want to    morning medications.
on dosage of blood receive a copy of your procedure  PLUS  
thinners. report. Drink an extra 8 ounces of clear liquid Beginning 5 hours before your
    every hour from 11am to 5pm. scheduled procedure time, drink
Stop herbals, vitamins,   Obtain bowel prep products Gatorade is preferred. the remaining half of the Nu-LYTELY
and oral iron from your pharmacy. 6pm Mix Nu-LYTELY powder  solution.
supplements.   according to the directions on   
  Nu-LYTELY is available by the container and drink 8 ounces. Drink 8 ounces every 10 minutes
Arrange a driver for   prescription only.  Gas  Drink 8 ounces of prep solution  until the solution is gone.  
after your procedure. tablets are Gas-X, Mylanta every 10 minutes until about 1/2    
  Gas. of the solution is consumed. You may continue to drink clear 
    Place remainder of solution liquids until 3 hours before your 
  Stop any anti-inflammatory  into the refrigerator. scheduled procedure time.
  medications 9pm Take 2 gas tablets with  
  (Motrin, Advil, Ibuprofen). 8 ounces clear liquid. If your procedure is scheduled in the 
  Celebrex, and Tylenol 10pm Take 2 gas tablets with early morning, you’ll need to get up
  are ok to use. 8 ounces clear liquid. in the middle of the night to take this 
    (Gas-X, Mylanta Gas). dose of preparation.  The correct timing 
      of this dose is essential to an effective 
  Confirm that you have a driver You are encouraged to continue to drink preparation.
  to take you home following  clear liquids until you go to bed.  
  your procedure.   Have nothing to eat or drink for
    You may apply a petroleum based  3 hours before your procedure.  
    product or diaper rash ointment to the   
    rectal area if you experience discomfort  After the procedure you may eat your
    from frequent stools. usual diet unless otherwise instructed
      Drink 8 ounces of liquid at least 6 times
      after the procedure and before retiring for
      the night.
       
      Your driver must remain in the waiting 
      room during your procedure.
If you think the prep is not working, call 274-5000 and ask for the GI nurse on call.  Do not take more than the prescribed dose of Nu-LYTELY.

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Clear Liquid Diet

As a rule - if you can see through it, you can drink it.

Gatorade is the preferred clear liquid (no red or purple)

Clear fruit juices, white grape juice and apple juice

Water

Kool-Aide, PowerAde (no red or purple)

Clear soup, broth or bouillon

Popsicles (no red or purple)

Tea or coffee without cream

Hard candies

Soda pop, 7-Up, Sprite, regular or diet Pepsi and Coke, ginger ale, orange soda (no red or purple)

Jell-O (no red or purple)
Research Studies:                          
Some patients who come to the endoscopy unit are asked to participate in a research study.  If you are asked to participate, the study purpose
and procedures will be explained to you.  You have the right to decline participation.  Declining participation will not affect the interest the doctors
have in your case.  The doctors at the endoscopy center are typically involved in research studies on how to improve endoscopy.    

 

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