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OsmoPrep Preparation

Colonoscopy Bowel Preparation Instructions 

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

 
CAUTION
If you are over the age of 55 or under the age of 18, or on dialysis or being treated for kidney failure, or have moderate to severe congestive heart failure,
or have liver disease with fluid build up in the abdomen (ascites) then
YOU MUST NOT TAKE THE OsmoPrep.  
 Please call  317-963-4040 or 1-877-962-4040 and talk with the GI Charge Nurse to request the Miralax prep instructions (also available at http://www.douglaskrex.com/MiraLax.htm).
                         
Warning:   This bowel preparation has very rarely been associated with kidney damage.  It's very important to follow the instructions
precisely, particularly the instructions for fluid intake.  The preparation is very safe and effective if the instructions are followed carefully.
                         
Your 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 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
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    
Contact prescribing physician insurance cards, get names and  Clear liquids ALL DAY You may take your morning medications. 
for instructions on the dosage addresses of the physicians you (See attached)  PLUS  
of blood thinners. of the physicians you want to receive Drink an extra 8 ounces 4-5 hours before your scheduled
    a copy of your procedure report of clear liquid every hour procedure time, take 4 OsmoPrep
Stop herbals, vitamins,   from 11am to 5pm. tablets with 8 ounces clear liquid.
and oral iron Obtain bowel prep products from Gatorade is preferred 15 minutes after your first morning dose
supplements. your pharmacy. OsmoPrep is    take 4 tablets with 8 ounces clear liquid.
    available by prescription only. 5pm - Take 4 OsmoPrep tablets 30 minutes after your first morning dose
Arrange for a driver for    with 8 ounces clear liquid. take 4 tablets with 8 ounces clear liquid.
your procedure. Stop any anti-inflammatory 5:15pm - Take 4 OsmoPrep tablets  
    medications with 8 ounces clear liquid. If your procedure is scheduled in the early
    (Motrin, Advil, and Ibuprofen) 5:30pm - Take 4 OsmoPrep tablets morning, you’ll need to get up in the middle
    Celebrex and Tylenol  with 8 ounces clear liquid. of the night to take this dose of preparation.
    are ok to use.  6:00pm - Take 4 OsmoPrep tablets The correct timing of this dose is essential
      with 8 ounces clear liquid. to an effective preparation.
    Confirm that you have a 6:30pm - Take 4 OsmoPrep tablets  
    driver to take you home  with 8 ounces clear liquid. You may continue to drink clear 
    following your procedure. 7:00pm - Drink 8 ounces of clear liquid liquids until 3 hours before your 
      7:30pm - Drink 8 ounces of clear liquid scheduled procedure time.
      8:00pm - Drink 8 ounces of clear liquid  
        After the procedure you may eat your
      You are encouraged to continue to drink usual diet unless otherwise instructed.
      clear liquids until you go to bed. Drink 8 ounces of liquid at least 6 times 
        after the procedure and before retiring for 
      You may apply a  petroleum based the night.
      product of diaper rash ointment to  
      the rectal area if you experience Your driver must remain in the waiting
      discomfort from the frequent stools. room during your procedure.

 

    
       
If you are passing clear liquid the night before your exam, you must still take the morning dose before your exam.  
If you think the prep is not working, notify the endoscopy unit at 317-963-4040 or 1-877-962-4040 or call 274-5000 and ask for the GI nurse or Fellow on call.
 

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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)

 

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