Upper Endoscopy (EGD) Prep Guide
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- Thomas Harvey Fitzgerald
- 5 years ago
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1 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 view yur stmach. If yu have any questins, please cntact the Gastrenterlgy ffice at the Guthrie Clinic at (570) Thank yu fr chsing Guthrie! Upper Endscpy (EGD) Prep Guide Health Cnsideratins page 2 (review tday) Medicatins and diagnses Patients n bld thinners Diabetic patients Get prepared page 3 (review 1-2 weeks befre) 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) 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 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 Upper Endscpy (EGD) Prep Guide fr Mrning Prcedures Fllw these instructins if yu are scheduled t arrive BEFORE Nn The day befre yur prcedure: Yu are nt allwed t eat r drink anything after midnight. On the day f yur prcedure: Review prcedure day reminders, page 4. D nt take bld thinners the day f yur prcedure (see page 2). Yu may take ther medicatins, with a small sip f water. Yu may brush yur teeth. Upper Endscpy (EGD) Prep Guide fr Afternn Prcedures Fllw these instructins if yu are scheduled t arrive AFTER Nn The day befre yur prcedure: N slids fds after midnight. On the day f yur prcedure: Review prcedure day reminders, page 4. Yu may have clear liquids nly until 10:00 am. D nt take bld thinners the day f yur prcedure (see page 2). Yu may take ther medicatins, with a small sip f water. Yu may brush yur teeth. 3/2019 5
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