Douglas R. Adler, M.D. Ronald A. Bloom, M.D. Kenneth D. Chi, M.D. Ruven Levitan, M.D. Nina H. Merel, M.D. Alan B. Shapiro, M.D. 847-677-1170 Procedure Scheduler Ext. 17 --- Nurse Line Ext. 51
Please read ALL instructions before your colonoscopy examination and MARK CALENDAR of anychanges you need to make. Please call with any problems or questions.
Obtain one of the following four (4) liter bottles of prescription preparation at any pharmacy:
Golytely Nulytely
Also obtain over the counter BISACODYL (generic Dulcolax, in the laxative section) Two (2)
DO NOT TAKE Aspirin, blood thinners, Ibuprofen, Vitamin E, or any Supplemental Iron. You may take Tylenol products if needed.
Arrange to have someone with you at the end of the exam that can drive you home. A taxi
driver alone is not sufficient. You will be discharged approximately 60-90 minutes after yourprocedure is started.
Fill the four (4) liter preparation bottle with warm water to the fill line, shake or mix until
dissolved, then REFRIGERATE.
For breakfast, lunch and dinner, DRINK ONLY CLEAR LIQUIDS. Please, no solid foods, milk or milk products. Drink as much or as little of the following “clear liquids” as you desire until Midnight. “CLEAR LIQUIDS” (NOT COLORED RED OR PURPLE THAT MIGHT RESEMBLE BLOOD) INCLUDE ALL OF THE FOLLOWING:
Carbonated and Non-carbonated soft drinks
(example: Coke, Pepsi, 7-Up, Sprite – Diet or Reg)
Clear Broth or bouillon (chicken or beef)
Kool-Aid (or other fruit flavored drinks)
Plain Jello (without added fruits or toppings)
ONE DAY BEFORE YOUR EXAMINATION, between 3:00 and 4:00 PM
Take the 2 bisacodyl tablets with water or clear liquids.
After your first bowel movement, but not later than 4 hours after taking the pills, begin to drink
Start drinking the prescription preparation (Colyte, Golytely, Nulytely or Trilyte) that you
refrigerated. Drink half (½ ) of this gallon (one-half (½) of the four (4) liters) over the next one to one-half (1 – 1½ ) hours, at a rate of one 8-ounce glass every 15-20 minutes. Or, you can drink more than 8-ounces every 15-20 minutes if you wish. You may drink more than half of the 4 liters if your stools have not fully cleared.
You may continue to drink clear liquids UNTIL MIDNIGHT if you desire.
**NOTE: If you develop bloating or distention, take a short break and resume drinking the
preparation UNTIL THE PRESRCIBED AMOUNT IS FINISHED (the one-half (1/2 ) gallon preparation).
Stay at home near the bathroom after you start drinking the preparation, as you will have
DIARRHEA.
Your Colonoscopy is scheduled for _______ ________
AM / PM at: The Glen Endoscopy Center Lutheran General Hospital 847-656-2400 847-723-5300 Golf Surgical Center Rush North Shore Medical Center 8901 Golf Rd 847-933-6565 847-299-2273
DOT NOT EAT OR DRINK ANYTHING IN THE MORNING OF THE DAY OF YOUR EXAM, EXCEPT ANY MORNING MEDICATIONS YOU ARE REQUIRED TO TAKE WITH WATER.
ALL HEART and BLOOD PRESSURE medications should be continued including day of procedure with small amounts of water. Check with RN about taking daily medications you are uncertain about.
PLEASE NOTIFY THE NURSE IF YOU NEED ANTIBIOTICS for procedures secondary to heart valve replacement, joint replacement within the last year, or if you are taking Coumadin, Insulin, or any medications for diabetes.
Please register in the Outpatient Registration Area. Arrive at __________. Note: At Lutheran General Hospital, register @ West Lobby Outpatient Registration near the west elevators on the 1st floor.
BIOPSY RESULTS AFTER PROCEDURES (if applicable)
Our office will call you with your biopsy results likely not earlier than ten (10) days after your procedure is performed, despite what the discharge instructions state. Due to HIPAA regulations, if you wish for us to leave a message with these results on your machine or with any other family member, the release form in our office needs to be on file. If you do not hear from us within two weeks regarding your biopsies, please call our office at 847-677-1170. Note: At the time of your procedure, you wil be asked to sign a consent form. Please be aware that no procedure is without risk. The most common risks associated with this procedure involve bleeding, tears (perforation), missed abnormalities and sedation associated risks. Your physician is Board Certified in the practice of Gastroenterology and wil take the utmost care to avoid these outcomes. If you have concerns, please address these with your doctor prior to the procedure.
Annexe 4 : ÉLÉMENTS DU BARÈME MOUVEMENT Personnels C A L E N D R I E R D U enseignants, M O U V E M E N T I N T E R - d’éducation, La note de service «Mutation 2014» parue A C A D E M I Q U E 2 0 1 4 d’orientation spécifiques au BO n° 41 du 07/11/13 précise le dispositif mis en œuvre pour la phase interacadémique qui comprend :- le mouvement des personne
Phyllis Bodel Childcare Center at Yale School of Medicine, Inc. Written Order from an Authorized Prescriber/Parent’s Permission If a Child Day Care Center, A Group Day Care Home or a Family Day Care Home chooses to administer medications, the Connecticut State Law and Regulations require a physician's, dentist's or advanced practice registered nurses' written order and parent or guardia
Douglas R. Adler, M.D.