Gastrokansascity.com

Dr. Gregory Schnell, Dr. James M. Walden 2790 Clay Edwards Drive Suite 1210, North Kansas City, MO 64116 Phone: (816) 527-0031 Fax: (816) 527-0096 LOCATION:
NORTH KANSAS CITY HOSPITAL
2790 CLAY EDWARDS DR
HEALTH SERVICES PAVILION
CHECK IN ON THE 7TH FLOOR – GI LAB
DATE: ________________________ CHECK IN TIME:____________________________
MIRALAX-GATORADE CONOSCOPY PREP
IN ORDER FOR THE DOCTOR TO PERFORM A COLONOSCOPY, A BOWEL “CLEANOUT” MUST BE COMPLETED AT HOME PRIOR TO THE PROCEDURE. A BOWEL “CLEANOUT” IS A COMBINATION OF CLEAR LIQUID DIET AND ORAL LAXATIVES. ALL OF THE ITEMS CAN BE OBTAINED AT YOUR LOCAL PHARMACY WITHOUT A PRESCRIPTION. YOU WILL NEED TO PURCHASE:  ONE 238-GRAM BOTTLE OF MIRALAX LAXATIVE  A SMALL BOX OF DUCOLAX TABLETS. NOT SUPPOSITORIES. YOU WILL (DIABETICS MAY USE POWERADE ZERO OR CRYSTAL LIGHT)
FIVE (5) DAYS BEFORE THE PROCEDURE-
STOP TAKING ASPIRIN, IBUPROFEN, ADVIL, MOTRIN, ALEVE, MEDIPREN,
NAPROSYN, OR ANY OTHER “NON-STERIOD ANTI-INFLAMMATORY”
MEDICATION.
IF YOU ARE TAKING COUMADIN, WARFARIN, OR PLAVIX, PLEASE CONTACT
THE PRESCRIBING PHYSICIAN TO DETERMINE IF IT IS SAFE TO STOP THESE
MEDICATIONS PRIOR TO YOUR PROCEDURE; IF THEY FEEL IT IS NOT SAFE
TO STOP THESE MEDICATIONS PLEASE ADVISE US IMMEDIATELY SO WE CAN
FURTHER DISCUSS THIS MATTER WITH THEM.
IF YOU HAVE DIABETES, PLEASE CONTACT YOUR DOCTOR FOR INSTRUCTIONS
ON HOW TO TAKE ANY DIABETES-RELATED MEDICATIONS ON THE DAY BEFORE
THE PROCEDURE. YOUR DIETARY INTAKE WILL BE LOWER THAN USUAL AND WE
WANT TO AVOID ANY EPISODES OF LOW BLOOD SUGAR DURING THE PREP OR
THE PROCEDURE.
1 DAY BEFORE YOUR COLONOSCOPY-
FOLLOW THE INSTRUCTIONS BELOW THE DAY PRIOR TO YOUR PROCEDURE.
1. AFTER A LIGHT BREAKFAST SUCH AS ONE EGG AND ONE PIECE OF WHITE TOAST, A CLEAR LIQUID DIET SHOULD BE STARTED. -
ALLOWED- WATER, TEA, COFFEE, SODA POP, CLEAR FRUIT JUICES, AND
FLAVORED DRINKS (CRYSTAL LIGHT, KOOL-AID) JELL-O, CHICKEN AND
BEEF BROTH, POPSICLES. NO SOLID FOOD AT ALL.
2. TAKE 2 DULCOLAX TABLETS AT NOON WITH A CLEAR LIQUID LUNCH. 3. ABOUT 4 HOURS AFTER TAKIN THE DULCOLAX TABLETS, MIX THE ENTIRE 238-GRAM BOTTLE OF MIRALAX WITH TWO QUARTS OF GATORADE IN A LARGE PITCHER. STIR WELL, AND ADD ICE. BE SURE TO STIR THE SOLUTION UNTIL THE MIRALAX IS COMPLETELY DISSOLVED. DRINK AN 8-OZ GLASS EVERY 10-15 MINUTES UNTIL THE SOLUTION IS ENTIRELY GONE. REMAIN NEAR BATHROOM FACILITIES FOR THE REMAINDER OF THE EVENING. (IF YOU FEEL NAUSEATED. STOP FOR ONE HOUR). THEN RESUME. 4. AT 8:00 PM, TAKE THE LAST 2 DULCOLAX TABLETS. 5. CONTINUE DRINKING CLEAR LIQUIDS UNTIL BEDTIME. 6. DIABETICS WILL NEED AN ADJUSTMENT OF THEIR MEDICATIONS THIS
DAY OF COLONOSCOPY-
DO NOT TAKE ANY MORNING MEDICATIONS, UNLESS YOU ARE ON MEDICINES
FOR HEART DISEASE, HIGH BLOOD PRESURE, OR SEIZURES. YOU MAY TAKE
THESE MEDICATIONS WITH A SMALL SIP OF WATER-PLEASE TAKE THEM AS
EARLY AS YOU CAN, AT LEAST 3 HOURS BEFORE THE SCHEDULED TIME OF YOU
PROCEDURE.
PLEASE BRING ALL OF YOUR ROUTINE MEDICATIONS WITH YOU WHEN YOU
COME TO THE HOSPITAL.
IF YOU ENCOUNTER ANY PROBLEMS DURING THE PREP, PLEASE CALL THE ON-
CALL PHYSICIAN AT 816-527-0031.

**YOU ARE RESPONSIBLE FOR CALLING YOUR INSURANCE PROVIDER TO
CONFIRM:
- ARE THE HOSPITAL AND DOCTOR “IN NETWORK”?
- IS THE PROCEDURE A COVERED BENEFIT?*****
WEAR COMFORTABLE CLOTHING AND SHOES THAT ARE EASILY REMOVED. LEAVE JEWELRY AND OTHER VALUABLE AT HOME. BRING YOU INSURANCE CARD AND DRIVER’S LICENSE.

Source: http://www.gastrokansascity.com/pdf/NEW_GATORADE_PREP.pdf