Bowel preparation instructions for a morningprocedure.
(Extended preparation)
.
Your procedure ______
is booked for ______at ______
Please report to the admission desk at______
Your doctor is______
Your anaesthetist is ______
If you have any questions re out of pocket expenses your
anaesthetist may charge please ring ______
The aim of the preparation is to clean the large bowel thoroughly. You will probably find that diarrhoea will begin oneto two hours after commencement of the laxative solutions. You should therefore stay near a toilet for the next few hours.
At completion of the preparation, liquid bowel actions may be light brown, green or yellow in colour with a small amount of debris – this is satisfactory. If you have any problems or are unable to tolerate the regime, or the bowel preparation appears unsatisfactory, please contact the office. If there is difficulty after office hours, ring the office and an answering machine will tell you how to get in touch with your doctor
MEDICATIONS
PLEASE TAKE ALL YOUR REGULAR MEDICATIONS except for the following:
Clopidogrel, Iscover, Clopidogrel Plus, Coplavix, Duo Cover, Pradaxa or other anticoagulants need to be addressed specifically with your doctor.______
Aspirin should be stopped 10 days prior to your procedure, unless otherwise instructed by your doctor.
All natural remedies / medications should be stopped 7 daysprior to your procedure ie fish oil, krill oil, glucosamine.
Iron should be stopped 5 days prior to your procedure, if colonoscopy is also being performed.
Warfarin should be stopped 4 days prior to your procedure unless otherwise instructed by your doctor.
Non-steroidal anti-inflammatory drugsshould bestopped 2 days prior your procedure ieNurofen, Brufen, Indocid
Diuretics should not be taken on the morning of your procedure ieFrusemide.
If you have diabetes, do not take your oral hypoglycaemics after you have stopped eating food.
2 DAYS PRIOR TO YOUR PROCEDURE
Starting with breakfast please eat only a low fibre diet this day, choosing from the following foods.
- White bread – this may be lightly toasted if you wish.
- Butter / margarine
- Vegemite, honey
- Yoghurt – low fat, plain or vanilla
- White cheese ie cottage, feta, ricotta
- Eggs – scrambled, poached or boiled
- Chicken – skinless
- Potato – peeled and cooked
- Pumpkin – peeled and cooked
- Plain biscuits – Jatz, Arrowroot
- Milk is allowed including milk substitutes
DAY PRIOR TO YOUR PROCEDURE
You may have a low fibre diet only until 9am. Then continue with clear fluids ONLY – orange, brown or yellow colourings allowed.
- Water
- Clear broth, stock cubes in water
- Cordial
- Fruit juice – strained, without pulp or seeds ie clear apple
- Teaspoon of Bonox or Vegemite in hot water
- Black tea, herbal tea or coffee
- Sugar, honey or artificial sweeteners are allowed
- Plain jelly – with out fruit
- Clear ice blocks – lemon sorbet
- You may suck on barley sweets or other hard travel sweets
- NO MILK, MILK SUBSITUTES OR DIARY PRODUCTS
AT 5.00 PM: add the contents of one sachet of Picolax to 250mls of water. Stir until fizzing stops, then drink. It is important you drink at least 4 glasses of water or clear fluid after drinking the Picolax over the next hour.
AT 7.00 PM: add the contents of the second sachet of Picolax to 250mls of water. Stir until fizzing stops, then drink. It is important you drink at least 4 glasses of water or clear fluid after drinking the Picolax over the next hour.
AT 9.00 PM: add the contents of the third sachet of Picolax to 250mls of water. Stir until fizzing stops, then drink. It is important you drink at least 4 glasses of water or clear fluid after drinking the Picolax over the next hour
Continue to drink at least a glassful of clear fluid every hour while you are awake.
DAY OF YOUR PROCEDURE
.
You may drink clear fluids until______
You may have sips of water until______
And then take nothing by mouth until instructed by hospital staff.
Discharge will be approximately 3 – 4 hours after your admission.