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Microsoft word - halflytely-prep.doc

INSTRUCTIONS FOR OUTPATIENT COLONOSCOPY
HALFLYTELY BOWEL PREP
PRIOR TO PROCEDURE:
*You will need to buy HALFLYTELY BOWEL PREP KIT from the pharmacy. You will need a
prescription for this.*
MEDICATIONS: In general, all medications should be continued in routine dosage EXCEPT
medications that will affect blood clotting. If you are on any sort of blood clotting medication, your
physician should approve you stopping the medicine. The following are the drugs that will require
some individualized instructions:
o Please stop COUMADIN (Warfarin) 4 days prior to your procedure. Contact the
physician that prescribes this medication for you for their approval before you stop. o Please stop PLAVIX (Clopidogrel) 7 days prior to your procedure. Contact the physician
that prescribes this medication for you for their approval before you stop. o Do not take any ASPIRIN or anti-inflammatory medications such as ibuprofen (Advil,
Motrin), naproxen (Aleve), celecoxib (Celebrex), valdecoxib (Bextra) or other arthritis
medications for 3 days prior to your procedure. This is not mandatory-ask your physician if
you have questions. TYLENOL (acetaminophen) IS PERMITTED.
o If you are DIABETIC, do not take your oral diabetes medications the day of your
procedure. Bring them with you so that you can take them after your procedure. o If you are DIABETIC and you take INSULIN, take half of your evening dose the day
before your procedure. DO NOT TAKE ANY INSULIN THE MORNING OF YOUR
PROCEDURE.

o Please stop IRON supplements (Ferrous Sulfate) 7 days before your procedure.
o Please ask for special instructions if you take Heparin, Pletal (cilostazol), Ticlid
(ticlopidine), Persantine (dipyridamole), Aggrenox or any other medication that affects
blood clotting.

1 DAY BEFORE PROCEDURE:
Start a clear liquid diet all day (NO SOLID FOOD OR DAIRY PRODUCTS)
CLEAR LIQUID DIET
Any Clear fruit juice, WITHOUT PULP, soft drinks, clear broth (beef or chicken), coffee, tea,
Kool-aid, Gatorade, Jello, Gelatin, and regular Popsicles, any type of hard candy, but no soft
centers or chocolate. No milk or dairy products. NOTHING WITH RED OR PURPLE
COLORING.

In the morning, on the day before the exam, add lukewarm water to the top of the line on the
HALFLYTELY bottle. Shake to dissolve the powder. Place the bottle in the refrigerator. (The
colder the solution, the better the taste)

PATIENTS NOT WORKING THE DAY OF THE BOWEL PREP:
STEP 1:
Starting at 12:00 (noon) take all 4 Bisacodyl tablets with a glass of water.
Do NOT chew or crush tablets-swallow whole.
Begin to drink the solution after a bowel movement occurs or within 6 hours-whichever comes first. Drink 1 (8 oz.) glass every 10 minutes (about 8 glasses) until all of the contents have been consumed. Rapid drinking is preferred. It will take approximately 1 hour and 20 minutes to drink the solution. You will continue to have loose bowel movements about 1-2 hours after finishing the solution
PATIENTS WORKING THE DAY OF THE BOWEL PREP:
STEP 1:
Starting between 4-6pm take all 4 Bisacodyl tablets with a glass of water.
Do NOT chew or crush tablets-swallow whole.
Begin to drink the solution after a bowel movement occurs or within 4 hours-whichever comes first. Drink 1 (8 oz.) glass every 10 minutes (about 8 glasses) until all of the contents have been consumed. Rapid drinking is preferred. It will take approximately 1 hour and 20 minutes to drink the solution. You will continue to have loose bowel movements about 1-2 hours after finishing
MORNING OF YOUR PROCEDURE

DO NOT eat or drink anything after midnight. You may take your usual morning medications with
just a sip of water as directed on page 1 of these instructions.
Please arrive in the REGISTRATION area at _________________________________
TIME_________________________________
DATE_________________________________
PHYSICIAN____________________________

***If you have to cancel your exam, please contact us at least 72 hours (3 business days) in advance as a courtesy to other patients and your physician. There is a $75 charge if you do not YOU WILL BE AT THE FACILITY FOR APPROXIMATELY 2-4 HOURS.
YOU MUST HAVE SOMEONE AVAILABLE TO DRIVE YOU HOME.

12/8/2009

Source: http://www.atlantagastroenterologyspecialists.com/client_files/file/halflytely-prep.pdf

Microsoft word - nutritional counseling intake forms 070808.doc

Please fill out the following information for our records: Patient Information Name: _____________________________________________________________________________ Address: ____________________________________________________________________________ City: _______________________ State: __________________ Zip: _____________________ Daytime phone: ____________________________ Home phone: ________

0-census.gov.iii-server.ualr.edu

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