Dr Eidem Suprep Split Dose Prep

Digestive Health Associates of Texas

Matthew'Eidem,'MD'

Suprep'Split'Dose'Preparation'for'a'Colonoscopy'

From the Pharmacy:

1. Purchase your SUPREP BOWEL PREP KIT (see attached prescription if a sample was not given)

COLONOSCOPY:

In order to achieve

an accurate

evaluation of your

lower

gastrointestinal (GI)

tract, it is important

that you properly

prepare for the

procedure. Doctors

are able to obtain

the clearest view of

the bowel when it is

flushed completely

free of waste

material. The

thoroughness of this

intestinal cleaning

depends on you.

Without your

cooperation, the

examination cannot

accomplish its

purpose and may

have to be repeated.

Five (5) Days Before Procedure:

• DO NOT DRINK ALCOHOL FOR (5) DAYS PRIOR TO YOUR PROCEDURE.

• DO NOT take any or ibuprofen products. Taking Tylenol (acetaminophen) is allowed.

• Stop taking anticoagulants or blood thinners such as: Coumadin, (Warfarin),

Celebrex, NSAIDS and Plavix, if necessary we will request Cardiac clearance.

Day Before Procedure:

• Follow a clear liquid diet throughout the day. Items include: water, clear juices without

pulp, clear soda, chicken or beef broth, popsicles, Jell-O, tea, coffee, etc. If you are

diabetic, drink regular (non-diet) liquids in moderation throughout the day and only

take half your dose of diabetes meds(pills or insulin)

• Avoid Food, dairy products, orange juice and anything that is red or purple in color.

• Step 1: At ___ PM pour one 6-ounce bottle of SUPREP into the mixing container

provided in your prep kit.

• Step 2: Add cold water to the fill line of the 16-ounce container and mix.

• Step 3:Slowly Drink ALL of the liquid in the container (Drink slowly to avoid

nausea).

• Step 4: MOST IMPORTANT: You must drink two more 16-ounce containers of water

over the next 1 hour.

• YOU MAY CONTINUE TO HAVE CLEAR LIQUIDS UNTIL BEDTIME.

Day of Procedure:

• At ___ AM Repeat steps 1 through 4 using the other 6-ounce bottle of SUPREP

bowel prep kit along with the 16-ounce container.

• DO NOT eat or drink anything 4 hours prior to your procedure. Except for any

currently prescribed heart or blood pressure medications with a sip of water.

• If you are diabetic: To avoid dangerously low blood sugar, Do Not take your diabetic

medication (pills or insulin) the morning of your procedure. You can resume your

diabetes medications after the procedure once you have eaten.

• Plan on being at the facility for approximately 2-3 hours.

• You must have someone drive you home after your procedure. You will be sedated

for your colonoscopy and will be drowsy for several hours after the procedure. You

may not drive or work for 12 hours after the procedure.

• YOU WILL NOT BE ALLOWED TO DRIVE OR TAKE A CAB.

Procedure Date:

Check-In Time:

Location:

MEDICAL CENTER OF PLANO

3901 W. 15th Street - Plano, TX 75075

(Enter thru ER entrance and go to the Out Patient Surgery Desk)

PRESTON CROSSING ENDOSCOPY CENTER

3500 Preston Road, Suite 200 - Plano, TX 75093

1600'Coit'Road,'Suite'301''|''Plano,'Texas'75075'' | ''972.867.0019''|''MatthewEidem.com'