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Microsoft word - halflytely prep for colonoscopy 062209.doc

Associates Procedure Date______Time______ Colonoscopy Preparation Instructions
Using HalfLytely Bowel Prep Kit

You will need to purchase your prep kit from your pharmacy; it is available by prescription from your
doctor.
Start this preparation the day before your procedure:
1. You will need to be on a clear liquid diet starting from the time you get up on ____,

before your procedure. This diet may include the following:
Bouillon Hard Candy Fruit Juice-no pulp (apple, grape, crandberry, etc) Consommé’ Jell-O (no red) Clear soft drinks (sprite,7-up,ginger ale,koolaid,etc) Clear broth Popsicles Boost or Ensure (up to 4 cans) No coffee, tea, colas, or milk products while on your liquid diet.
2. Between 5:00-6:00PM, take the (2) bisacodyl tablets with water. Do not chew or crush. Do not take
any antacids within one hour of taking the bisacodyl tablets. 3. Mix solution, tear open on Flavor Pack of choice and pour into HalfLytely bottle. Discard unused
packs. Solution can be used with or without flavor packs. Add drinking water to top line of bottle.
Cap bottle and shake to dissolve.
4. Between 8:00-9:00 PM begin to drink the solution. Drink 8 oz every 10 minutes until you have

On the day of the procedure:

1. At ________,finish drinking the chilled solution. Drink 8 oz every 10 minutes until you have
2. You may continue clear liquids until 3 hours prior to your procedure, but then nothing else by mouth, this includes water. (You may take your cardiac or blood pressure medications on the day of your procedure as early as possible with small sips of water.) You will need to check in by ______________and your colonoscopy will begin by___________
Please report to:
___ Sentara Norfolk General ___Chesapeake General Hospital
River Pavilion 3rd Floor Main Lobby-Central Registration
___Norfolk Office ___Chesapeake Office
304 Medical Tower 113 Gainsborough Sq #102

**You must have someone with you to drive you home after your procedure** If you have any questions or are unable to keep your appointment, please call the office. **If you cancel your appointment with less than 72 hours notice, you may incur a charge**
Please, no acrylic or polish on at least one fingernail
**A copayment is usually required by most insurances for procedures performed**
400 Gresham Drive Suite 304•Norfolk VA 23507•(757)627-6416 113 Gainsborough Square Suite 102•Chesapeake VA 23320•(757)436-3285 Associates Procedure Date______Time______ ™ 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.
™ You may want to leave your valuables at home (jewelry, watches, etc) and limit make-up. ™ Bring your completed consent form, medication list , driver’s license and insurance cards to the Office.
™ A co-payment is usually required by most insurances for procedures performed. ™ Please, no acrylic or polish on at least one fingernail. ™ If you cancel your appointment with less than 48 hours notice, you may incur a charge. Colonoscopy Preparation “Frequently Asked Questions”

Why avoid red liquids?

The red color can persist in the colon and potentially look like blood. However, cranberry juice is permitted since it is a natural red color
I feel like vomiting and don’t think that I can drink any more. What do I do?
It is important that you continue to drink the solution if at all possible. Without a clean bowel, the doctor will not be able to see the inside
of your colon to complete the examination. If you experience nausea, wait 15 minutes and resume drinking slowly. If you do vomit, wait
45 minutes and begin drinking the solution again. Try sipping the solution with a straw.
I drank a lot of the solution and I have not gone to the bathroom yet. What should I do?
Keep drinking. Most people have a bowel movement after an hour. Some patients may take 2 hours or longer.
Can I drink alcoholic beverages?
Do not drink any alcoholic beverages prior to your procedure since they can cause dehydration.
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.
400 Gresham Drive Suite 304•Norfolk VA 23507•(757)627-6416 113 Gainsborough Square Suite 102•Chesapeake VA 23320•(757)436-3285

Source: http://gastroassociates.net/pdfs/Halflytely%20prep%20for%20colonoscopy%20062209.pdf

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