Carolina Digestive Health Associates

Transcription

1 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 PROCEDURE: DATE: PROCEDURE TIME: LOCATION: CHECK IN TIME: Please clsely fllw the instructins belw in prepping fr yur prcedure. It is very imprtant that yu fllw them carefully, r we will be unable t perfrm the prcedure and it will be cancelled. This packet includes: 1. Instructins fr 7 days, 5 days and 2 days prir t yur prcedure 2. Instructins fr diabetic patients 3. Instructins fr the day f yur prcedure 4. EGD infrmatin This infrmatin shuld answer mst f the questins yu may have abut yur prcedure. If yu still need additinal assistance, please cntact ur ffice nearest yu. As a reminder, if yu cancel yur prcedure less than 3 business days befre yur scheduled appintment, yu may be charged a $100 n shw fee. Yu must have an adult driver with yu at all times when yu are at the endscpy center/hspital. Yu shuld expect t be at the endscpy center/hspital between 2 ½ and 3 hurs. Yur driver must stay at the endscpy center/hspital during yur prcedure. Carlina Digestive Health Assciates Phne Numbers Billingsley: Matthews: Belmnt: Mnre: Cncrd: Pineville: Davidsn: University:

2 Medicatin Instructins 7 DAYS BEFORE PROCEDURE: Discntinue taking Phentermine and Hydrxycut. 5 DAYS BEFORE PROCEDURE: Discntinue taking medicines that may thin yur bld, such as: COUMADIN, PLAVIX, TICLID, Heparin, Aspirin, Excedrin, Effient, Alka Seltzer, Empirin, Ectrin, Bufferin, Ascriptin, Ibuprfen, Mtrin, Advil, Medipren, Nuprin, Naprxen (Naprsyn), Aleve, Sulindac, Clinril, Pirxicam, Feldene, Indmethacin, Indcin, Diclfenac and Vltaren unless therwise directed by yur physician. If any f these are a medical necessity fr yu, please infrm us as sn as pssible by calling ur ffice. Please stp all irn prducts, multi vitamins, and fish il. IF YOUR DOCTOR HAS PRESCRIBED ASPIRIN: Please decrease yur aspirin t 81 mg a day. After yur prcedure, yu will be infrmed when yu may resume taking yur regular medicatins. Tylenl is safe t use prir t this prcedure. *** If yu d nt see yur medicatin r supplement listed here, verify with yur lcal pharmacy yur medicatin desn t include Aspirin. *** *** Cntact us if any majr health prblems ccur between nw and yur prcedure. 2 DAYS BEFORE THE PROCEDURE: Discntinue taking Xarelt, Eliquis, and Pradaxa. If either f these are a medical necessity fr yu, please infrm us NOW. DAY OF THE PROCEDURE If yu take Bld Pressure Medicatins, Heart Medicatins, r Seizure Medicatins take yur medicines, at the times yu nrmally wuld, with a sip f water. GENERAL INSTRUCTIONS FOR DIABETIC PATIENTS Check yur bld glucse during the preparatin perid, especially if yu suspect it is t lw. Yur bld glucse levels may run higher than usual during this perid due t adjustments in yur diabetes medicatin. If bld glucse becmes extremely high (greater than 350), call ur ffice, yur PCP r yur diabetes dctr. Fr lw bld glucse levels, yu may drink sweetened clear liquids (such as apple juice). Infrm the endscpy nurse upn arrival if this was necessary. Resume yur usual diabetic diet and medicatins immediately after yur prcedure(s) unless yu are instructed t d therwise. If yur diet remains restricted fllwing the prcedure, ask fr instructins regarding diabetic medicatin adjustment.

3 Diabetic Instructins If yu are diabetic and having an EGD, fllw these instructins: ORAL DIABETES MEDICATIONS If yu take ral diabetic medicatins, please hld these medicatins the mrning f yur EGD. Restart these medicatins after the prcedure when yu resume eating. INSULIN If yu take insulin f any type, fllw these guidelines: Lantus r Levmir Take yur usual dse unless yur bld glucse is tightly cntrlled (glucse levels are usually in the nrmal range r are ccasinally lw). In that case, reduce the dsage by ne frth n the day befre yur EGD. Resume yur usual dse after the prcedure. (Example: If yu take 40 units, adjust t 30 units) 70/30 r 75/25 insulin On the mrning f the prcedure, take half f yur usual dse r, if yu have the prcedure befre 11:00am, bring yur insulin with yu t take befre yur next meal. Resume yur usual dse after the prcedure. Meal related insulin On the mrning f the prcedure, take half yur usual dse r, if yu have the prcedure befre 11:00am, bring yur insulin with yu t take befre yur next meal. Resume yur usual dse after the prcedure. Sliding Scale Insulin Cntinue this as usual. Insulin pump Reduce the dse f yur insulin by ne frth the day f the prcedure r cnsult yur endcrinlgist fr recmmendatins. Resume yur usual dse after the prcedure. (Example: If yu take 4 units/hur, adjust t 3 units/hur)

4 EGD Please fllw the set f instructins marked belw based n yur scheduled appintment time: Mrning Appintment Instructins (Between 7am 12:40pm) Yur prcedure is at, please fllw the instructins belw: After Midnight the evening prir t yur prcedure NO Slid fds. Hwever yu may have clear liquids ONLY up until (4 hurs prir t yur scheduled prcedure time). Clear liquid diet guidelines: Yu may have water, clear fruit juices (white grape, apple), sda (Sprite, Ginger Ale, Pepsi, Cke, and diet clas), Jell O, ice pps, brth, builln, cffee, tea, Gatrade Yu may NOT have anything red, purple, blue, range Yu may NOT have milk r milk prducts (this includes nn dairy creamers) During the 4 hurs prir t yur scheduled prcedure time, yu may NOT have anything t eat r drink including: water and all ther clear liquids, gum, candy, chewing tbacc, snuff r fd items. Afternn Appintment Instructins (Between 12:40pm 5pm) Yur prcedure is at, please fllw the instructins belw: After Midnight the evening prir t yur prcedure NO Slid fds. Hwever yu may have clear liquids ONLY up until (4 hurs prir t yur scheduled prcedure time). Clear liquid diet guidelines: Yu may have water, clear fruit juices (white grape, apple), sda (Sprite, Ginger Ale, Pepsi, Cke, and diet clas), Jell O, ice pps, brth, builln, cffee, tea, Gatrade Yu may NOT have anything red, purple, blue, range Yu may NOT have milk r milk prducts (this includes nn dairy creamers) During the 4 hurs prir t yur scheduled prcedure time, yu may NOT have anything t eat r drink including: water and all ther clear liquids, gum, candy, chewing tbacc, snuff r fd items. After The Prcedure: Yu may return t a nrmal diet as tlerated, unless therwise instructed by yur physician. If yu experience abdminal pain, fever r painful swallwing please cntact ur ffice immediately. If it is after hurs please g t the emergency rm t be evaluated.

5 EGD (Esphaggastrdudenscpy) Infrmatin Esphaggastrdudenscpy, als knwn as an upper endscpy, enables the physician t lk inside the esphagus, stmach, and dudenum (the first part f the small intestine). The prcedure might be used t discver and pssibly treat the reasn fr swallwing difficulties, nausea, vmiting, reflux, bleeding, indigestin, abdminal pain, r chest pain. A thin, flexible, lighted tube called an endscpe will be used fr the prcedure. Right befre the prcedure the physician will spray yur thrat with a numbing agent that may help prevent gagging. Yu will receive medicine t sedate yu during the exam. The endscpe transmits an image inside f the esphagus, stmach, and dudenum s the physician can examine the lining f these rgans. The scpe als blws air int the stmach; this expands the flds f tissue and makes it easier fr the physician t examine the stmach. The physician can see abnrmalities, like ulcers, thrugh the endscpe that desn t shw up well n x rays. The physician can als insert instruments int the scpe t remve samples f tissue (bipsy) fr further tests. The physician can als use instruments t stp bleeding. Yur stmach and dudenum must be empty fr the prcedure t be thrugh and safe. Please see the EGD preparatin instructins fr cmplete details. Yu may resume yur nrmal diet after the prcedure, unless advised therwise. The prcedure takes 5 20 minutes; hwever, yu shuld be prepared t be at the hspital r endscpy center fr 2 t 2 ½hurs. Yu must have a respnsible driver with yu at all times while yu are at the endscpy center/hspital. The day after the prcedure, yu may return t wrk r yur nrmal activities. If bipsies were taken during the prcedure, we nrmally receive the results f the test within 7 10 business days. After a dctr reviews the reprt, the clinical will call r mail yu a letter with the results and his instructins.