COLONOSCOPY PREPARATION with NULYTELY® Procedure Date ________________ Time________ Arrival Time________
Thank you for choosing New York Endoscopy for your procedure. We are located at Two Gannett Drive, on the First Floor in Suite 104. We are located in White Plains, NY, however if you are using a navigation system you may need to enter West Harrison as the city. Additional driving directions are available online at lease call us if you have any questions at (914) 683-1619. Preparation Colonoscopy is an examination of the colon (large bowel) with a flexible tube about the thickness of your pinky finger, which transmits a live color image onto a television screen. There are many things a person would rather do than undergo a bowel prep for a colonoscopy, but your efforts at cleansing your colon are essential for an accurate procedure. These instructions are designed to maximize the ease, safety and success of your preparation. It is EXTREMELY important for you to drink large amounts of clear liquids while doing this bowel cleansing prep! Risks No procedure can guarantee 100% diagnostic accuracy and all involve some risk. The decision to proceed is made after weighing the potential risks and benefits. Serious complications are rare and include, but are not limited to, perforation, bleeding, infection, aspiration, reaction to medicines, and the need for surgery or transfusion due to one of the above complications. These occurrences are all rare. Purchase at the Pharmacy
One (1) Nulytely Kit Two (2) Dulcolax (Bisacodyl 5 mg) laxative tablets
Plain or aloe Baby wipes (prevents a sore bottom) OPTIONAL
Desitin or A&D Ointment (prevents a sore bottom) OPTIONAL
Clear liquids (see list below) and drinking straws
One Week Prior to the Procedure
DO NOT take iron pills or medications that may cause bleeding. These medications may include: Plavix,
Coumadin, Aspirin,Percodan,Alka-Seltzer. You MUST stop any anti-inflammatory type drugs including: Empirin, Ecotrin, Bufferin, Ascriptin, Ibuprofen, Motrin, Advil, Medipren, Nuprin, Naprosyn, Naproxen, Sulindac, Clinoril, Piroxicam,Feldene, Indomethacin, Indocin, Diclofenac, and Voltaren.
STOP all multivitamins, Vitamin E, ginkgo, ginseng. Tylenol and other brands which contain ACETAMINOPHEN are safe to use prior to this procedure. Stop fiber supplements 5 days before your procedure Stop Fruits, Nuts, Berries, Vegetables for 3 days prior to the procedure
*If you are taking Plavix, Aspirin or Coumadin because of a history of coronary stents, carotid stents, etc., proper dosing and timing before, during and after your procedure is essential. Be sure to discuss this with your physician.
One Day before the procedure:
The day’s diet will consist of CLEAR LIQUIDS only. This includes: water, soda, clear broth (Fat free
chicken or Beef), Gatorade, Kool-Aid, Jello, Popsicles, coffee or tea without milk/nondairy creamer, clear fruit juices (apple, white grape, white cranberry) and hard candies. Do not ingest RED liquids or Red Jello. You must drink at least twoquarts of the above liquids throughout the day.
At noon, mix NuLYTELY with water and refrigerate. Take 2 Dulcolax tablets. At 4 PM start drinking the mixed NuLYTELY finish drinking by 8 PM. The preparation will cause you to have very loose stools, which is the intended result. You may drink all the
clear liquids you desire until midnight. No further drinking is allowed until after the procedure is completed the following day. Do not take medicines within one hour of the preparation. Individual responses to laxatives vary greatly. This preparation often works within one hour but may take longer than four. Remain close to a toilet as multiple bowel movements may occur.
Day of Procedure: DO NOT EAT OR DRINK ANYTHING If you take medication, you may have it the morning of the procedure with a small amount of water. This
means NO MORE than a few SMALL sips of water. You may brush your teeth.
Arrive at the Endoscopy Center ONE HOUR BEFORE your procedure is scheduled. Bring your completed Patient Information Sheet, driver’s license and insurance cards to the Center. You must be accompanied by a friend or relative to drive you home. You MAY NOT drive, go home in a
taxi or by bus. If this instruction is not followed, your procedure will be cancelled.
_____ Hold morning dose of insulin the day of the procedure but bring your insulin to the facility. _____ If you have an artificial heart valve, or have a previous history of endocarditis, joint replacement or other specific indication, your doctor may prescribe pre-procedure antibiotics. _____ Stop aspirin, anti-inflammatory medications such as ibuprofen (Advil, Aleve, Motrin) 7 days before
the procedure. You MAY take Tylenol (acetaminophen).
_____ Bring a list of the medications (including the dosages) and any allergies to medications, or
conditions that would make you sensitive to sedation such as sleep apnea syndrome to the Center with you. If you have sleep apnea, bring CPAP machine.
How do I know if my prep is adequate? The stool should be watery in consistency. It does not have to be clear in color, like water, since digestive juices will continue to tint the stool yellow and small flecks of debris are not a problem, as long as the stool is not muddy or thick. If there is any question, you can self administer a tap water or fleet enema prior to leaving home for the procedure. What side effects may I expect? Since the prep works by flooding the intestinal tract with fluid, abdominal bloating and cramping may occur, as well as some nausea and vomiting. This is usually temporary, and as the diarrhea develops, symptoms will gradually improve. Weakness can also occur, especially if you have not taken enough fluid with the prep, and can be remedied by increasing fluid intake. Will the prep interfere with my other medications? Medications taken at least an hour before beginning the prep should be adequately absorbed, but thereafter, they are likely to be washed away by the prep. Remember, stay close to the bathroom facilities It is also worthwhile to get a supply of aloe wet wipes and Desitin ointment to ward off a sore bottom.
Good Luck! This is the hardest part of the procedure, call (914) 683-1619 with any questions you may have.
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