Colonoscopy MoviPrep Split-dose Prep Guide

Size: px
Start display at page:

Download "Colonoscopy MoviPrep Split-dose Prep Guide"

Transcription

1 Yu have been scheduled fr a Clnscpy MviPrep Split-dse Prep. Plan ahead t help reduce yur stress. Use these step-by-step instructins fr a successful prep s that yur dctr can clearly view yur cln. If yu have any questins, please cntact the Gastrenterlgy ffice at the Guthrie Clinic at (570) Thank yu fr chsing Guthrie! Health Cnsideratins page 2 (review tday) Medicatins and diagnses Patients n bld thinners Diabetic patients Get prepared page 3 (review 1-2 weeks befre) Supplies t purchase Sedatin & transprtatin requirements Get started page 4 (review 5 days befre the prcedure) Prcedure day reminders page 4 (review 5 days befre & day f) Prep Instructins* (fllw the day befre & day f) Mrning prcedure instructins page 5 Afternn prcedure instructins page 5 *Please nte there are different instructins fr scheduled appintments in the mrning and scheduled appintments in the afternn. 1

2 Health Cnsideratins (review tday) Medicatins and diagnses Please call the Gastrenterlgy ffice at the Guthrie Clinic at (570) , select ptin 1 immediately if any f the fllwing apply t yu: Yu use xygen at hme. Yu use CPAP r BIPAP r have been diagnsed with sleep apnea. Yu weigh ver 300 lbs. r have a BMI (bdy mass index) ver 45. If yu are pregnant r think yu may be pregnant. If yu take pain medicatins, anti-anxiety medicatins, psychiatric medicatins, use medical marijuana, r recreatinal drugs. If yu need t cancel r reschedule yur appintment. Patients n bld thinners If yu use Aggrenx, Arixtra, Brilinta, Effient, Eliquis, Plavix, Pletal, Pradaxa, Ticlid, Xarelt, r any bld thinner (anticagulant) r an anti-platelet drug, mst patients need t stp taking these 5 days prir t prcedure. Please speak with yur physician wh rders this medicatin befre stpping. If yu use a bld thinner named Cumadin, Warfarin, r Jantven yu will need special instructins abut stpping this drug befre the prcedure. The timing f this is very imprtant! If yu are fllwed by the Cumadin Clinic, please cntact the Sayre Cumadin Clinic at fr instructins befre stpping, t see if they prefer that yu use an alternative anticagulant. If yu are NOT fllwed by the Cumadin Clinic, please cntact yur physician wh rders this fr instructins. Diabetic patients If yu take a pill t lwer yur sugar, d nt take it n the day f yur prcedure. If yu are taking regular Insulin r NPH, d nt take it n the day f yur prcedure. If yu are taking any ther insulin preparatin such as Lantus, Humalg, r 70/30 insulin: It is recmmended yu take a ½ dse the evening prir t yur prcedure and n dse the day f yur prcedure. We recmmend yu have prducts with and withut sugar n hand at hme t keep yur bld glucse in balance during the preparatin perid. 2

3 Get prepared (1-2 weeks befre the prcedure) Supplies t purchase Yu will need t fill the prescriptin fr MviPrep prvided t yu at yur lcal pharmacy prir t yur prcedure. Yu will als need t purchase generic simethicne (Gas-X) tablets-yu will need 4 tablets fr this prep. D nt drink any liquids that are red r purple. Clear Liquid Suggestins: Gatrade, Pedialyte, r Pwerade Cffee r tea withut creamer Carbnated and nn-carbnated sft drinks Kl-Aid r ther fruit-flavred drinks Apple juice, white cranberry juice, r white grape juice Jell-O, ppsicles Chicken, beef, r vegetable brth Sedatin requires that patients make transprtatin arrangements Please be aware that yu will be receiving sedatin fr yur prcedure. It will limit what yu can d after yur prcedure until the fllwing day. ALL ENDOSCOPY PATIENTS MUST HAVE A DESIGNATED DRIVER Due t sedatin medicatin, it is unlawful t drive until the fllwing day after a prcedure and is cnsidered driving under the influence f drugs (DUI), a punishable ffense. It is required that all endscpy patients have a designated driver (18 years r lder) available t drive the patient hme after their prcedure. Yu may nt take public transprtatin unless accmpanied by smene 18 years f age r lder. 3

4 Get started (5 days befre the prcedure) 5 days befre yur prcedure, stp taking: Irn/multivitamins: Stp irn (such as ferrus sulfate) r vitamins cntaining irn. Fiber supplements: Stp fiber supplements such as Metamucil, Citrucel. Bld Thinners: If yu use Aggrenx, Arixtra, Brilinta, Effient, Eliquis, Plavix, Pletal, Pradaxa, Ticlid, Xarelt, r any bld thinner (anticagulant) r anti-platelet drug: mst patients need t stp taking these 5 days prir t prcedure. Please speak with yur physician wh rders this medicatin befre stpping. See page 2. If yu use a bld thinner named Cumadin, Warfarin, r Jantven yu will need special instructins abut stpping this drug befre the prcedure. See page 2. Please refrain frm eating raw/uncked fruits and vegetables, nuts, small seeds and ppcrn 5 days befre yur prcedure. Please nte that Aspirin r NSAID S such as Advil, Ibuprfen, Aleve d NOT need t be stpped prir t yur prcedure. Prcedure day reminders (review 5 days prir, and day f) Medicatin n the day f yur prcedure D NOT take bld thinners, see page 2. Diabetics, see page 2. Yu may take ther medicatins (including pain medicatins, anti-anxiety medicatins, and bld pressure medicatins) with a small sip f water. Take inhaler as prescribed if needed in the mrning. What t bring A list f yur current medicatins, yur insurance card, and Pht ID Hearing aids, inhaler, and/r ilestmy r clstmy supplies (as applicable) Wear cmfrtable, lse fitting clthing Please leave all valuables at hme. Cell phnes and tablets are nt allwed after yu enter the patient care area and must be turned ff until after discharge. This is fr the privacy f all ur patients. Transprtatin & Discharge Yu must have a driver 18 years f age r lder with a valid driver s license fr this prcedure. Yu may nt take public transprtatin unless accmpanied by smene 18 years f age r lder. If smene is picking yu up, we must be able t cntact them by phne befre yur prcedure. We will nt cntinue with yur prcedure until we cnfirm with yur driver by talking t them. Yu shuld plan n being at ur facility fr a minimum f 2-3 hurs fr yur appintment. Please plan accrdingly, as delays may ccur. 4

5 The day befre yur prcedure: Befre 8:00 AM: Yu may have a light breakfast, such as tast and cffee. After 8:00 AM: Yu may nly have clear liquids. Increase yur fluid intake t at least 6-8 glasses f clear liquids tday. This will help lessen stmach cramping. Starting at 4:00 PM: T prepare the first dse fllw the mixing directins n MviPrep package and refrigerate the mixture. At 5:00 PM Drink 6-8 z. f the MviPrep rapidly, at 15-minute intervals; this shuld take abut an hur t drink t cmplete the first mixture f the prep. After yu finish drinking the MviPrep take 1 simethicne tablets. Yu may cntinue t drink clear liquids until midnight. Blating and nausea are cmmn after the first few glasses f MviPrep, this is temprary and will imprve nce bwel mvements start. Rarely, peple may have nausea r vmiting with the prep. If this ccurs, give yurself a 30 t 90-minute break, rinse yur muth r brush yur teeth, then cntinue drinking the prep slutin. Stmach cramping and diarrhea are nrmal frm taking the prep. Anal skin irritatin r a flare f hemrrhid inflammatin may ccur. If this happens, treat it with ver-the-cunter-remedies, such as hydr-crtisne cream, baby wipes, Vaseline, r TUCKS pads. Avid prducts cntaining alchl. If yu have a prescriptin fr hemrrhid cream, yu may use it. Please d nt use suppsitries. At 7:00 PM: Prepare the secnd dse f the MviPrep fr tmrrw mrning. Fllw the mixing directins n the MviPrep package and refrigerate. On the day f yur prcedure: Review prcedure day reminders, page 4 At 4:00 AM: Begin drinking the remaining MviPrep mixture. Yu must finish the prep by 5:15 am. After yu finish drinking the MviPrep take 1 simethicne tablets. Yu may take yur medicatins with a small sip f water. If yur appintment is scheduled AFTER 12:00 PM (NOON) yu may have clear liquids until 10:00 AM. Yu may brush yur teeth. 3/2019 5

Upper Endoscopy (EGD) Prep Guide

Upper Endoscopy (EGD) Prep Guide Upper Endscpy (EGD) Prep Guide Yu have been scheduled fr an Upper Endscpy (EGD). Plan ahead t help reduce yur stress. Use these step-by-step instructins fr a successful prcedure s that yur dctr can clearly

More information

Colonoscopy Colyte Split-dose Prep Guide

Colonoscopy Colyte Split-dose Prep Guide Clnscpy Clyte Split-dse Prep Guide Yu have been scheduled fr a Clnscpy Clyte Split-dse Prep. Plan ahead t help reduce yur stress. Use these step-by-step instructins fr a successful prep s that yur dctr

More information

Gastroenterology Prep Instructions

Gastroenterology Prep Instructions Gastroenterology Prep Instructions Colonscopy Colyte Split-Dose *Please read these instructions immediately* Call the office located on 3 Green in the Guthrie Clinic at (570) 887-2852 immediately if any

More information

Gastroenterology Prep Instructions

Gastroenterology Prep Instructions Gastroenterology Prep Instructions Colonoscopy Miralax Split-Dose *Please read these instructions immediately* Call the office located on 3 Green in the Guthrie Clinic at (570) 887-2852 immediately if

More information

Two Day Colonoscopy Preparation PEG (GoLYTELY) & Dulcolax Prep

Two Day Colonoscopy Preparation PEG (GoLYTELY) & Dulcolax Prep Tw Day Clnscpy Preparatin PEG (GLYTELY) & Dulclax Prep Thank yu fr chsing t have yur clnscpy with NSPG Gastrenterlgy. We are delighted t be able t participate in yur healthcare and we will make every attempt

More information

Carolina Digestive Health Associates

Carolina Digestive Health Associates Carlina Digestive Health Assciates Prcedure Infrmatin Yu are scheduled fr a Clnscpy. Please read all f the attached infrmatin as sn as pssible s yu are prepared fr yur upcming prcedure. PHYSICIAN PERFORMING

More information

Procedure Information

Procedure Information Prcedure Infrmatin Yu are scheduled fr a Clnscpy. Please read all f the attached infrmatin as sn as pssible s yu are prepared fr yur upcming prcedure. PHYSICIAN PERFORMING PROCEDURE: DATE: PROCEDURE TIME:

More information

Carolina Digestive Health Associates

Carolina Digestive Health Associates Carlina Digestive Health Assciates Prcedure Infrmatin Yu are scheduled fr a Clnscpy. Please read all f the attached infrmatin as sn as pssible s yu are prepared fr yur upcming prcedure. PHYSICIAN PERFORMING

More information

Colon Hydrotherapy Prep

Colon Hydrotherapy Prep Cln Hydrtherapy Prep PROCEDURE DATE: COLON CLEANSE APPOINTMENT TIME: ***After yu finish with yur cln cleanse yu will g directly t Summit Endscpy Center (Suite C) *** IF YOU HAVE A BOWEL MOVEMENT 3 OR LESS

More information

Procedure Information

Procedure Information Prcedure Infrmatin Yu are scheduled fr a Clnscpy. Please read all f the attached infrmatin as sn as pssible s yu are prepared fr yur upcming prcedure. PHYSICIAN PERFORMING PROCEDURE: DATE: PROCEDURE TIME:

More information

Carolina Digestive Health Associates

Carolina Digestive Health Associates Carlina Digestive Health Assciates Prcedure Infrmatin Yu are scheduled fr an EGD. Please read all f the attached infrmatin as sn as pssible s yu are prepared fr yur upcming prcedure. PHYSICIAN PERFORMING

More information

Carolina Digestive Health Associates

Carolina Digestive Health Associates Carlina Digestive Health Assciates Prcedure Infrmatin Yu are scheduled fr an ERCP. Please read all f the attached infrmatin as sn as pssible s yu are prepared fr yur upcming prcedure. PHYSICIAN PERFORMING

More information

Pain relief after surgery

Pain relief after surgery Pain relief after surgery Imprtant infrmatin fr patients www.mchft.nhs.uk We care because yu matter This leaflet is designed t help yu cntrl any pain yu may have at hme fllwing yur peratin. Please read

More information

Patrick J McGahan, MD Orthopaedic Surgeon Specializing in Sports Medicine/Shoulder Reconstruction Surgery Instructions Hip

Patrick J McGahan, MD Orthopaedic Surgeon Specializing in Sports Medicine/Shoulder Reconstruction Surgery Instructions Hip Patrick J McGahan, MD Orthpaedic Surgen Specializing in Sprts Medicine/Shulder Recnstructin 2801 K St, Ste 330, Sacrament, CA, 95816 (p) 916-733-5049 (f) 916-733-8914 www.patrickmcgahanmd.cm Befre Surgery

More information

Idaho Naturopathic Medicine 6550 W Emerald, Ste 112 Boise, Idaho Ph: Fax:

Idaho Naturopathic Medicine 6550 W Emerald, Ste 112 Boise, Idaho Ph: Fax: Idah Naturpathic Medicine 6550 W Emerald, Ste 112 Bise, Idah 83704 Ph: 208-275- 0007 Fax: 208-323-9909 www.idahnaturpathicmedicine.cm Welcme t Idah Naturpathic Medicine We lk frward t meeting yu sn. It

More information

Patrick J McGahan, MD Orthopaedic Surgeon Specializing in Sports Medicine/Shoulder Reconstruction

Patrick J McGahan, MD Orthopaedic Surgeon Specializing in Sports Medicine/Shoulder Reconstruction Patrick J McGahan, MD Orthpaedic Surgen Specializing in Sprts Medicine/Shulder Recnstructin 2801 K St, Ste 330, Sacrament, CA, 95816 (p) 916-733-5049 (f) 916-733-8914 www.patrickmcgahanmd.cm Befre Surgery

More information

Percutaneous Nephrolithotomy (PCNL)

Percutaneous Nephrolithotomy (PCNL) Percutaneus Nephrlithtmy (PCNL) What is a percutaneus nephrlithtmy? is the mst effective f the cmmnly perfrmed prcedures fr kidney stnes. It is the best prcedure fr large and cmplex stnes. T perfrm this

More information

Miralax (Polyethyene Glycol) Bowel Prep

Miralax (Polyethyene Glycol) Bowel Prep Miralax (Polyethyene Glycol) Bowel Prep The following instructions are your physician s specific instructions. Please follow the instructions carefully to ensure a successful prep. You can reach your physician

More information

You may have a higher risk of bleeding if you take warfarin sodium tablets and:

You may have a higher risk of bleeding if you take warfarin sodium tablets and: MEDICATION GUIDE Warfarin (WAR-far-in) Sdium (SO-dee-um) Tablets USP The 7.5 mg tablets cntain FD&C Yellw N. 5 (tartrazine), which may cause allergic-type reactins (including brnchial asthma) in certain

More information

University College Hospital. Pump school Starting on an insulin pump. Children and Young People s Diabetes Service

University College Hospital. Pump school Starting on an insulin pump. Children and Young People s Diabetes Service University Cllege Hspital Pump schl Starting n an insulin pump Children and Yung Peple s Diabetes Service 2 If yu wuld like this dcument in anther language r frmat, r require the services f an interpreter,

More information

Colonoscopy Bowel Prep Instructions Miralax /Gatorade

Colonoscopy Bowel Prep Instructions Miralax /Gatorade Colonoscopy Bowel Prep Instructions Miralax /Gatorade Refer to this instruction sheet for the entire week before your colonoscopy. Colonoscopy prep instructions are extremely important for a successful

More information

Colonoscopy Bowel Prep Instructions OsmoPrep

Colonoscopy Bowel Prep Instructions OsmoPrep Colonoscopy Bowel Prep Instructions OsmoPrep Refer to this instruction sheet for the entire week before your colonoscopy. Colonoscopy prep instructions are extremely important for a successful colonoscopy.

More information

Miralax (Polyethylene Glycol) Bow el Prep (Diabetic)

Miralax (Polyethylene Glycol) Bow el Prep (Diabetic) The following instructions are your physician s specific instructions. Please follow the instructions carefully to ensure a successful prep. You can reach your physician s office at: 414.918.3556 Special

More information

Dr. Tozzi s and Dr. Roehrig s Patient Guide to Total Hip Replacement

Dr. Tozzi s and Dr. Roehrig s Patient Guide to Total Hip Replacement Dr. Tzzi s and Dr. Rehrig s Patient Guide t Ttal Hip Replacement This guide is meant t help yu better understand yur upcming hip surgery. It is generalized infrmatin, and individual patients have unique,

More information

Finding the right 90 people in 90 days and what to do with them:

Finding the right 90 people in 90 days and what to do with them: Finding the right 90 peple in 90 days and what t d with them: Wh can yu give the 3 packets (with instructins) t? Current Preferred Custmers nt currently n the Daily Essentials Packets. Friends and Family

More information

Annex III. Amendments to relevant sections of the Product Information

Annex III. Amendments to relevant sections of the Product Information Changes t the Prduct infrmatin as apprved by the CHMP n 13 Octber 2016, pending endrsement by the Eurpean Cmmissin Annex III Amendments t relevant sectins f the Prduct Infrmatin Nte: These amendments t

More information

Head and neck cancers are often treated with radiotherapy. Radiotherapy can lead to faster rates of tooth decay and poor healing in the mouth.

Head and neck cancers are often treated with radiotherapy. Radiotherapy can lead to faster rates of tooth decay and poor healing in the mouth. DENTAL EXTRACTION This infrmatin aims t help yu understand the peratin, what is invlved and sme cmmn cmplicatins that may ccur. It may help answer sme f yur questins and help yu think f ther questins that

More information

ALCAT FREQUENTLY ASKED QUESTIONS

ALCAT FREQUENTLY ASKED QUESTIONS 1. Is fasting required befre taking the Alcat Test? N. It is recmmended t drink water and t avid stimulants like caffeine prir t the test. 2. With regard t testing children, must a child be a certain age

More information

Colonoscopy Bowel Prep Instructions SUPREP

Colonoscopy Bowel Prep Instructions SUPREP Colonoscopy Bowel Prep Instructions SUPREP Refer to this instruction sheet for the entire week before your colonoscopy. Colonoscopy prep instructions are extremely important for a successful colonoscopy.

More information

Before Your Visit: Mohs Skin Cancer Surgery

Before Your Visit: Mohs Skin Cancer Surgery Befre Yur Visit: Mhs Skin Cancer Surgery Yur Kaiser Permanente Care Instructins Skin Cancer Infrmatin What is skin cancer? Skin cancers are tumrs, r malignancies, f the skin. Skin cancer is assciated with

More information

Medication Guide ABSTRAL (AB-stral) CII (fentanyl) Sublingual tablets

Medication Guide ABSTRAL (AB-stral) CII (fentanyl) Sublingual tablets Medicatin Guide ABSTRAL (AB-stral) CII (fentanyl) Sublingual tablets IMPORTANT: D nt use ABSTRAL unless yu are regularly using anther piid pain medicine arund-the-clck fr at least ne week r lnger fr yur

More information

Health for Life Chiropractic At Cloverdale Mall Unit # The East Mall Etobicoke, ON, M9B 3Y

Health for Life Chiropractic At Cloverdale Mall Unit # The East Mall Etobicoke, ON, M9B 3Y Health fr Life Chirpractic At Clverdale Mall Unit #143-250 The East Mall Etbicke, ON, M9B 3Y8 416-232-1822 416-232-0060 Child and Adlescent Health Questinnaire Name:_ Birth date: Address:_ Telephne: Medical

More information

Postoperative Anterior Cruciate Ligament Reconstruction Care WITH meniscus repair:

Postoperative Anterior Cruciate Ligament Reconstruction Care WITH meniscus repair: Pstperative Anterir Cruciate Ligament Recnstructin Care WITH meniscus repair: Imprtant Phne Numbers: - Please see the cntact infrmatin abve fr imprtant phne numbers t call. - If yu have cncerns after hurs,

More information

Fad diets Ask the Dietitian Michele Lucas RD CDE

Fad diets Ask the Dietitian Michele Lucas RD CDE Fad diets Ask the Dietitian Michele Lucas RD CDE WHAT YOU SHOULD KNOW: Weighing t much is nt gd fr yur health. Being verweight increases yur risk f health prblems, like heart prblems, high bld pressure,

More information

Dental Benefits. Under the TeamstersCare Plan, you and your eligible dependents have three basic options when you need dental care.

Dental Benefits. Under the TeamstersCare Plan, you and your eligible dependents have three basic options when you need dental care. Dental Benefits Under the TeamstersCare Plan, yu and yur eligible dependents have three basic ptins when yu need dental care. Optin #1: TeamstersCare Dentists. Yu can use ur in-huse Charlestwn, Chelmsfrd,

More information

I am having a Rotator Cuff Repair

I am having a Rotator Cuff Repair I am having a Rtatr Cuff Repair A rtatr cuff repair is surgery t repair a trn tendn in the shulder. The rtatr cuff is a grup f muscles and tendns that frm a cuff ver the shulder jint. The muscles and tendns

More information

Continuous Nerve Blocks at Home

Continuous Nerve Blocks at Home What is a peripheral nerve blck? Making a difference in the lives f children, yuth and families Cntinuus Nerve Blcks at Hme This nerve blck is a way t treat and prevent pain after surgery. Yur child s

More information

A Phase I Study of CEP-701 in Patients with Refractory Neuroblastoma NANT (01-03) A New Approaches to Neuroblastoma Therapy (NANT) treatment protocol.

A Phase I Study of CEP-701 in Patients with Refractory Neuroblastoma NANT (01-03) A New Approaches to Neuroblastoma Therapy (NANT) treatment protocol. SAMPLE INFORMED CONSENT A Phase I Study f CEP-701 in Patients with Refractry Neurblastma NANT (01-03) A New Appraches t Neurblastma Therapy (NANT) treatment prtcl. The wrd yu used thrughut this dcument

More information

MEDICATION GUIDE Pioglitazone (pie-oh-glit-ah-zohn) and Metformin (met-fore-min) Hydrochloride Tablets USP

MEDICATION GUIDE Pioglitazone (pie-oh-glit-ah-zohn) and Metformin (met-fore-min) Hydrochloride Tablets USP MEDICATION GUIDE Piglitazne (pie-h-glit-ah-zhn) and Metfrmin (met-fore-min) Hydrchlride Tablets USP Read this Medicatin Guide carefully befre yu start taking piglitazne and metfrmin hydrchlride tablets

More information

PATIENT INFORMATION. effective for the treatment of the flu in people with long-time (chronic) heart problems or breathing problems.

PATIENT INFORMATION. effective for the treatment of the flu in people with long-time (chronic) heart problems or breathing problems. PATIENT INFORMATION capsules, fr ral use fr ral suspensin What is TAMIFLU? TAMIFLU is a prescriptin medicine used t: treat the flu (influenza) in peple 2 weeks f age and lder wh have had flu symptms fr

More information

Initial Postoperative Knee Care Patella or Quadriceps Tendon Repairs: - Videos are available on Dr. Witty s website: drjeffreywitty.

Initial Postoperative Knee Care Patella or Quadriceps Tendon Repairs: - Videos are available on Dr. Witty s website: drjeffreywitty. Initial Pstperative Knee Care Patella r Quadriceps Tendn Repairs: - Vides are available n Dr. Witty s website: drjeffreywitty.cm Imprtant Phne Numbers: - Please see the cntact infrmatin abve fr imprtant

More information

MEDICATION GUIDE Pioglitazone and Metformin Hydrochloride (PYE o GLI ta zone and met FOR min HYE-droe- KLOR-ide)Tablets, USP

MEDICATION GUIDE Pioglitazone and Metformin Hydrochloride (PYE o GLI ta zone and met FOR min HYE-droe- KLOR-ide)Tablets, USP MEDICATION GUIDE Piglitazne and Metfrmin Hydrchlride (PYE GLI ta zne and met FOR min HYE-dre- KLOR-ide)Tablets, USP Read this Medicatin Guide carefully befre yu start taking piglitazne and metfrmin hydrchlride

More information

Procedure Instruction Packet. READ this instruction packet packet completely at least 7 days prior to your procedure!!

Procedure Instruction Packet. READ this instruction packet packet completely at least 7 days prior to your procedure!! Procedure Instruction Packet READ this instruction packet packet completely at least 7 days prior to your procedure!! **Your procedure may be cancelled if these instructions are not followed. Procedure

More information

Medication Guide MORPHINE SULFATE (mor-pheen) Oral Solution (CII)

Medication Guide MORPHINE SULFATE (mor-pheen) Oral Solution (CII) Medicatin Guide MORPHINE SULFATE (mr-pheen) Oral Slutin (CII) IMPORTANT: Keep Mrphine Sulfate Oral Slutin in a safe place away frm children. Accidental use by a child is a medical emergency and can cause

More information

Preparing for Your Upcoming Colonoscopy

Preparing for Your Upcoming Colonoscopy Preparing for Your Upcoming Colonoscopy GoLytely/PEG Solution PLEASE REVIEW THESE INSTRUCTIONS CAREFULLY. QUESTIONS? CALL (608) 417-6389. 1. Transportation Arrange for someone to drive you to and from

More information

DIABETES AND PANCREATIC EXOCRINE INSUFFICIENCY

DIABETES AND PANCREATIC EXOCRINE INSUFFICIENCY YOU AND YOUR BODY DIABETES AND PANCREATIC EXOCRINE INSUFFICIENCY kk WHY IS THIS LEAFLET FOR YOU? Pancreatic excrine insufficiency (PEI) is imprtant t understand in diabetes care due t the changing functins

More information

Imaging tests allow the cancer care team to check for cancer and other problems inside the body.

Imaging tests allow the cancer care team to check for cancer and other problems inside the body. IMAGING TESTS This infrmatin may help answer sme f yur questins and help yu think f ther questins that yu may want t ask yur cancer care team; it is nt intended t replace advice r discussin between yu

More information

MEDICATION GUIDE. (fingolimod) capsules

MEDICATION GUIDE. (fingolimod) capsules MEDICATION GUIDE GILENYA (je-len-yah) (finglimd) capsules Read this Medicatin Guide befre yu start using GILENYA and each time yu get a refill. There may be new infrmatin. This infrmatin des nt take the

More information

9200 Calumet Avenue Sincer Jacob, PA-C Munster, IN Jessica Morin, ATC Deanna Cozzi, ATC

9200 Calumet Avenue Sincer Jacob, PA-C Munster, IN Jessica Morin, ATC Deanna Cozzi, ATC DISCHARGE INSTRUCTIONS & PHYSICAL THERAPY PROTOCOL: Subacrmial Decmpressin, Glenhumeral Debridement, Distal Clavicle Resectin Recvery after shulder arthrscpy entails cntrlling swelling and discmfrt, return

More information

MOVIPREP BOWEL PREP. 3 days prior to procedure

MOVIPREP BOWEL PREP. 3 days prior to procedure The following instructions are your physician s specific instructions. Please follow the instructions carefully to ensure a successful prep. You can reach Your Patient Advisor with non-medical prep questions

More information

MOVIPREP BOWEL PREP. 2 days prior to procedure

MOVIPREP BOWEL PREP. 2 days prior to procedure The following instructions are your physician s specific instructions. Please follow the instructions carefully to ensure a successful prep. You can reach Your Patient Advisor with non-medical prep questions

More information

COLYTE/CONSTIPATION BOWEL PREP

COLYTE/CONSTIPATION BOWEL PREP The following instructions are your physician s specific instructions. Please follow the instructions carefully to ensure a successful prep. You can reach your physician s office at: 626.359.3330 Option

More information

Completing the NPA online Patient Safety Incident Report form: 2016

Completing the NPA online Patient Safety Incident Report form: 2016 Cmpleting the NPA nline Patient Safety Incident Reprt frm: 2016 The infrmatin cntained within this dcument is in line with the current Data Prtectin Act (DPA) requirements. This infrmatin may be subject

More information

MEDICATION GUIDE. (canagliflozin) Tablets

MEDICATION GUIDE. (canagliflozin) Tablets MEDICATION GUIDE INVOKANA (in-v-kahn-uh) (canagliflzin) Tablets What is the mst imprtant infrmatin I shuld knw abut INVOKANA? INVOKANA can cause imprtant side effects, including: Dehydratin. INVOKANA can

More information

PROCEDURE INFORMATION

PROCEDURE INFORMATION Page 1 of 6 Simon K. Lo, MD Laith H. Jamil, MD Srinivas Gaddam, MD, MPH Quin Y. Liu, MD Stephen J. Pandol, MD PROCEDURE INFORMATION Patient name: Date of Birth: Procedure: Date of Procedure: Check-in Time:

More information

Colonoscopy Preparation with Moviprep

Colonoscopy Preparation with Moviprep Colonoscopy Preparation with Moviprep Preparation Instructions: Diet and Medication 7 Days Prior To Procedure 1. Stop aspirin, aspirin containing products, Plavix, Aggrenox, Alka-seltzer, iron supplements,

More information

Procedure Instruction Packet. Please print this packet out if you are receiving it by .

Procedure Instruction Packet. Please print this packet out if you are receiving it by  . Procedure Instruction Packet READ this instruction packet completely at least 7 days prior to your procedure!! **Your procedure may be cancelled if these instructions are not followed. Date of Procedure:

More information

Name of procedure: Removal of submandibular salivary gland

Name of procedure: Removal of submandibular salivary gland Oral facial surgery Surgical prcedure infrmatin leaflet Name f prcedure: Remval f submandibular salivary gland This leaflet explains sme f the benefits, risks and alternatives t the peratin. We want yu

More information

Procedure Instruction Packet. Please print this packet out if you are receiving it by .

Procedure Instruction Packet. Please print this packet out if you are receiving it by  . Procedure Instruction Packet READ this instruction packet completely at least 7 days prior to your procedure!! **Your procedure may be cancelled if these instructions are not followed. Date of Procedure:

More information

MIRALAX BOWEL PREP INSTRUCTIONS

MIRALAX BOWEL PREP INSTRUCTIONS West Chester Hospital 7700 University Drive 2 nd Floor West Chester, Ohio 45069 Patient Name: MIRALAX BOWEL PREP INSTRUCTIONS Procedure Date: Arrival Time: *Please note: A colonoscopy may need to be rescheduled

More information

TRIGGER FINGER RELEASE SURGERY DAVID GESENSWAY, MD

TRIGGER FINGER RELEASE SURGERY DAVID GESENSWAY, MD TRIGGER FINGER RELEASE SURGERY DAVID GESENSWAY, MD THE DAY OF SURGERY: Welcme! We will try t make yur experience as easy as pssible. Please leave valuables at hme, but the surgery centers d require pht

More information

GREG S. KHOUNGANIAN, MD Minimally Invasive Spine Surgery Board Certified Orthopedic Surgeon GENERAL POST-OPERATIVE INSTRUCTIONS

GREG S. KHOUNGANIAN, MD Minimally Invasive Spine Surgery Board Certified Orthopedic Surgeon GENERAL POST-OPERATIVE INSTRUCTIONS GREG S. KHOUNGANIAN, MD Minimally Invasive Spine Surgery Bard Certified Orthpedic Surgen GENERAL POST-OPERATIVE INSTRUCTIONS These instructins are general pst-perative instructins fr mst spinal prcedures,

More information

2 DAY BOWEL PREP. 2 days prior to procedure

2 DAY BOWEL PREP. 2 days prior to procedure The following instructions are your physician s specific instructions. Please follow the instructions carefully to ensure a successful prep. You can reach Your Patient Advisor with non-medical prep questions

More information

Your appointment is on: at. Arrive at for registration and to prepare for the procedure.

Your appointment is on: at. Arrive at for registration and to prepare for the procedure. DIGESTIVE HEALTH CENTER GOLYTELY (POWDER) COLONOSCOPY BOWEL PREP INSTRUCTION Your appointment is on: at. Arrive at for registration and to prepare for the procedure. You will need to have a responsible

More information

School Medication Authorization Form. School Grade Teacher. Emergency Phone No: To be completed by the student's physician: Name of Medication:

School Medication Authorization Form. School Grade Teacher. Emergency Phone No: To be completed by the student's physician: Name of Medication: Schl Medicatin Authrizatin Frm Student's Name Address Birth Date Hme Phne Schl Grade Teacher Emergency Phne N: T be cmpleted by the student's physician: Name f Medicatin: Dsage Frequency Time t be given

More information

These are medical emergencies that can cause death. If possible, remove OTFC from the mouth.

These are medical emergencies that can cause death. If possible, remove OTFC from the mouth. MEDICATION GUIDE Oral Transmucsal Fentanyl Citrate (OTFC) CII (fentanyl citrate) ral transmucsal lzenge 200 mcg, 400 mcg, 600 mcg, 800 mcg, 1200 mcg, 1600 mcg IMPORTANT: D nt use Oral Transmucsal Fentanyl

More information

2 DAY BOWEL PREP. 2 days prior to procedure

2 DAY BOWEL PREP. 2 days prior to procedure The following instructions are your physician s specific instructions. Please follow the instructions carefully to ensure a successful prep. You can reach Your Patient Advisor with non-medical prep questions

More information

SKYLINE HOSPITAL SURGICAL SERVICES PRE-OPERATIVE INFORMATION SHEET. Below are specific instructions to help guide you through your appointment.

SKYLINE HOSPITAL SURGICAL SERVICES PRE-OPERATIVE INFORMATION SHEET. Below are specific instructions to help guide you through your appointment. SKYLINE HOSPITAL SURGICAL SERVICES PRE-OPERATIVE INFORMATION SHEET Below are specific instructions to help guide you through your appointment. SCHEDULING Skyline Hospital will be calling you to schedule

More information

Instructions for Your EGD AND COLONOSCOPY (WITH TRILYTE PREPARATION)

Instructions for Your EGD AND COLONOSCOPY (WITH TRILYTE PREPARATION) Instructions for Your EGD AND COLONOSCOPY (WITH TRILYTE PREPARATION) Please read these instructions one week prior to your procedure. What is an EGD? An EGD (Esophagogastroduodenoscopy or Upper GI Endoscopy)

More information

Knee Class Fremont Physical Therapy

Knee Class Fremont Physical Therapy Fremnt Knee Facts The knee lses strength and stability after an injury. Stretching, strengthening and stability exercises are recmmended nt nly fr peple wh have injured their knees, but als t prevent injury.

More information

What is Asthma? A collaborative effort of Children s Hospital of Pittsburgh of UPMC and The Pennsylvania Child Welfare Resource Center

What is Asthma? A collaborative effort of Children s Hospital of Pittsburgh of UPMC and The Pennsylvania Child Welfare Resource Center A cllabrative effrt f Children s Hspital f Pittsburgh f UPMC and The Pennsylvania Child Welfare Resurce Center What is Asthma? Jennifer E. Wlfrd, DO, MPH, FAAP Children s Hspital f Pittsburgh, Divisin

More information

Procedure Instruction Packet. Please print this packet out if you are receiving it by .

Procedure Instruction Packet. Please print this packet out if you are receiving it by  . Procedure Instruction Packet READ this instruction packet completely at least 7 days prior to your procedure!! **Your procedure may be cancelled if these instructions are not followed. Date of Procedure:

More information

INCISIONAL HERNIA INFORMATION SHEET DR. JULIE MILLER BA, MD, FRACS. Specialist Endocrine and General Surgeon

INCISIONAL HERNIA INFORMATION SHEET DR. JULIE MILLER BA, MD, FRACS. Specialist Endocrine and General Surgeon INCISIONAL HERNIA INFORMATION SHEET DR. JULIE MILLER BA, MD, FRACS Specialist Endcrine and General Surgen Suite 12, Level 2, The Wmen s Hspital (03) 9347 6301 Yu have an incisinal hernia. Because f yur

More information

Health Information. Conscious Sedation. For Patients and the Community. How to Prepare for Your Colonoscopy.

Health Information. Conscious Sedation. For Patients and the Community. How to Prepare for Your Colonoscopy. Elevate Your Health Health Information For Patients and the Community Conscious Sedation How to Prepare for Your Colonoscopy IMPORTANT - Please Read These Instructions at Least Two Weeks Before Your Colonoscopy

More information

Influenza (Flu) Fact Sheet

Influenza (Flu) Fact Sheet Influenza (Flu) Fact Sheet What is the flu? The flu is a cntagius respiratry illness caused by influenza viruses. It can cause mild t severe illness, and at times can lead t death. Sme peple, such as lder

More information

MEDICATION GUIDE REVLIMID (rev-li-mid) (lenalidomide) capsules What is the most important information I should know about REVLIMID?

MEDICATION GUIDE REVLIMID (rev-li-mid) (lenalidomide) capsules What is the most important information I should know about REVLIMID? MEDICATION GUIDE REVLIMID (rev-li-mid) (lenalidmide) capsules What is the mst imprtant infrmatin I shuld knw abut REVLIMID? Befre yu begin taking REVLIMID, yu must read and agree t all f the instructins

More information

PHARYNGO-OESOPHAGECTOMY

PHARYNGO-OESOPHAGECTOMY PHARYNGO-OESOPHAGECTOMY This infrmatin aims t help yu understand the peratin, what is invlved and sme cmmn cmplicatins that may ccur. It may help answer sme f yur questins and help yu think f ther questins

More information

3903 Fair Ridge Drive, Suite 209, Fairfax, VA Harry Byrd Hwy, Suite 285, Ashburn, VA *How did you hear about our program?

3903 Fair Ridge Drive, Suite 209, Fairfax, VA Harry Byrd Hwy, Suite 285, Ashburn, VA *How did you hear about our program? 3903 Fair Ridge Drive, Suite 209, Fairfax, VA 22033 44121 Harry Byrd Hwy, Suite 285, Ashburn, VA 220147 *Hw did yu hear abut ur prgram? Patient Histry Patient Name: First Middle: Last: Address: City: State:

More information

PATIENT INFORMATION. Rosuvastatin calcium tablets are used along with diet to:

PATIENT INFORMATION. Rosuvastatin calcium tablets are used along with diet to: PATIENT INFORMATION Rsuvastatin Calcium (re-soo-va-stat-in KAL-see-um) Tablets Read this Patient Infrmatin carefully befre yu start taking rsuvastatin calcium tablets and each time yu get a refill. If

More information

Getting Ready for Your Virtual Colonoscopy (VC) (Routine VC Prep)

Getting Ready for Your Virtual Colonoscopy (VC) (Routine VC Prep) Getting Ready for Your Virtual Colonoscopy (VC) (Routine VC Prep) What is Virtual Colonoscopy? Virtual Colonoscopy (VC), also referred to as CT colonography, is a less-invasive, safe exam used for colon

More information

Rate Lock Policy. Contents

Rate Lock Policy. Contents Rate Lck Plicy Cntents Rate Lcks... 2 Rate Lck Cnfirmatin... 2 Lck Term... 2 Pre-Lck... 2 Maximum Qualified Rate... 3 Extensins... 3 Cst t Extend... 3 Relcks... 4 Re-Negtiatin r Flat Dwn Plicy... 4 Prgram

More information

SLEEP-WAKE QUESTIONNAIRE

SLEEP-WAKE QUESTIONNAIRE Shasta Critical Care Specialists Sleep Center: (530) 232-3017, 2701 Old Eureka Way, Suite 1J, Redding, CA 96001 Office: (530) 232-3000, 2701 Old Eureka Way, Suite 1E, Redding, CA 96001 Fax: (530) 242-8545

More information

Instructions for your Colonoscopy With MAGNESIUM CITRATE Preparation 2 DAY PREPARATION

Instructions for your Colonoscopy With MAGNESIUM CITRATE Preparation 2 DAY PREPARATION Instructions for your Colonoscopy With MAGNESIUM CITRATE Preparation 2 DAY PREPARATION Please read these instructions one week prior to your procedure. What is a colonoscopy? A colonoscopy is a procedure

More information

MEDICATION GUIDE. Reference ID:

MEDICATION GUIDE. Reference ID: MEDICATION GUIDE GLYXAMBI (glik-sam-bee) (empagliflzin and linagliptin) Tablets Read this Medicatin Guide carefully befre yu start taking GLYXAMBI and each time yu get a refill. There may be new infrmatin.

More information

Anterior Total Hip Arthroplasty Patient Guide & Common Questions

Anterior Total Hip Arthroplasty Patient Guide & Common Questions Intrductin: Anterir Ttal Hip Arthrplasty Patient Guide & Cmmn Questins This handut is a general guide t cmmn indicatins fr anterir ttal hip arthrplasty, what t expect when underging the prcedure, risks,

More information

PART III: CONSUMER INFORMATION

PART III: CONSUMER INFORMATION IMPORTANT: PLEASE READ PART III: CONSUMER INFORMATION Pr ZERIT Stavudine This leaflet is Part III f a three-part Prduct Mngaph published when ZERIT was apprved fr sale in Canada and is designed specifically

More information

CONSUMER MEDICINE INFORMATION

CONSUMER MEDICINE INFORMATION CONSUMER MEDICINE INFORMATION What is in this leaflet This leaflet answers sme cmmn questins abut CEFTRIAXONE lcp. It des nt cntain all the available infrmatin. It des nt take the place f talking t yur

More information

Ileoscopy Prep Instructions

Ileoscopy Prep Instructions How do I prepare for the procedure? You must have a driver who is 18 years or older present at check in and discharge if you plan on having sedation for your procedure. If you do not have a driver with

More information

Colonoscopy Prep. Please review your insurance requirements for co-pay, deductible and co-insurance.

Colonoscopy Prep. Please review your insurance requirements for co-pay, deductible and co-insurance. Colonoscopy Prep Thank you for choosing to have your colonoscopy with North Shore Physicians Group. We are delighted to be able to participate in your healthcare and we will make every attempt to make

More information

Glaucoma Interviews: Due Tuesday, May 22 nd

Glaucoma Interviews: Due Tuesday, May 22 nd Glaucma Interviews: Due Tuesday, May 22 nd 1) Read the glaucma article well! It will explain what it is, plus tell yu sme symptms and risk factrs. Yu may want t use a highlighter r pen t mark imprtant

More information

YOU HAVE ANY QUESTIONS OR IF YOU HAVE DIFFICULTIES WITH THE BOWEL CLEANSING REGIMEN PLEASE CONTACT OUR OFFICE AT

YOU HAVE ANY QUESTIONS OR IF YOU HAVE DIFFICULTIES WITH THE BOWEL CLEANSING REGIMEN PLEASE CONTACT OUR OFFICE AT COLONOSCOPY PREPARATION INSTRUCTIONS Name You are scheduled for a colonoscopy with Dr Location: Date of colonoscopy /. Arrival time : Endoscopic Solutions P.C. P repopik To ensure a successful exam, please

More information

Instructions for your Colonoscopy 2 DAY PREPARATION With Miralax 1 week before, Trilyte, Bisacodyl, and Magnesium Citrate

Instructions for your Colonoscopy 2 DAY PREPARATION With Miralax 1 week before, Trilyte, Bisacodyl, and Magnesium Citrate Instructions for your Colonoscopy 2 DAY PREPARATION With Miralax 1 week before, Trilyte, Bisacodyl, and Magnesium Citrate Please read these instructions one week prior to your procedure. What is a colonoscopy?

More information

Assessment Field Activity Collaborative Assessment, Planning, and Support: Safety and Risk in Teams

Assessment Field Activity Collaborative Assessment, Planning, and Support: Safety and Risk in Teams Assessment Field Activity Cllabrative Assessment, Planning, and Supprt: Safety and Risk in Teams OBSERVATION Identify a case fr which a team meeting t discuss safety and/r safety planning is needed r scheduled.

More information

Advanced Gastroenterology, PLLC

Advanced Gastroenterology, PLLC You should arrive for your procedure(s) at: Day: Date: Time: Your Procedure has been scheduled with: Advanced Gastroenterology, PLLC 2415 NE 134 th St., Suite 205 Vancouver, WA 98686 Ph: (360) 576-5060

More information

MEDICATION GUIDE XARELTO (zah-rel-toe) (rivaroxaban) tablets

MEDICATION GUIDE XARELTO (zah-rel-toe) (rivaroxaban) tablets MEDICATION GUIDE XARELTO (zah-rel-te) (rivarxaban) tablets Read this Medicatin Guide befre yu start taking XARELTO and each time yu get a refill. There may be new infrmatin. This Medicatin Guide des nt

More information

My Symptoms and Medical History for Adult Chronic Immune Thrombocytopenia (ITP)

My Symptoms and Medical History for Adult Chronic Immune Thrombocytopenia (ITP) My Symptms and Medical Histry fr Adult Chrnic Immune Thrmbcytpenia (ITP) Call t talk t a registered nurse 1-855-7Nplate (1-855-767-5283), Mnday Friday, 9:00 AM 9:00 PM ET Indicatin Nplate is a man-made

More information

Do you have any of the symptoms listed below? Please circle all that apply.

Do you have any of the symptoms listed below? Please circle all that apply. D yu have any f the symptms listed belw? Please circle all that apply. Parkinsn s Symptms: Truble walking Falls Feet sticking t the flr Tremr Medicatins wearing ff Truble sleeping Vivid dreams Thrashing

More information

Colonoscopy Afternoon Preparation Instructions with PEG-3350 (Trilyte, Colyte, NuLytely, or Golyteley)

Colonoscopy Afternoon Preparation Instructions with PEG-3350 (Trilyte, Colyte, NuLytely, or Golyteley) Colonoscopy Afternoon Preparation Instructions with PEG-3350 (Trilyte, Colyte, NuLytely, or Golyteley) IMPORTANT: For the best results and to prevent the need to cancel or reschedule your colonoscopy:

More information

CONSENT FORM - TESTOSTERONE FOR TRANSGENDER CLIENTS

CONSENT FORM - TESTOSTERONE FOR TRANSGENDER CLIENTS CONSENT FORM - TESTOSTERONE FOR TRANSGENDER CLIENTS Yu want t take teststerne t masculinize yur bdy. Befre taking it, there are several things yu need t knw abut. They are the pssible advantages, disadvantages,

More information