D I G E S T I V E H E A L T H C L I N I C, L L C Boise Gastroenterology Associates & Idaho Endoscopy Center, LLC
SAMUEL S. GIBSON, M.D. IKE D. TANABE, M.D.
ROBERT F. GIBSON, M.D. STEPHEN M. SCHUTZ, M.D. MARK A. MALLORY, M.D. CHRISTOPHER J. GOULET M.D.
COLONOSCOPY PREPARATION INSTRUCTIONS Nulytely Split Dose Preparation Please visit our website at www.digestivehealthclinic.com to view an educational video about this exam. Read these instructions carefully. If instructions are not followed, your colon may not be clean enough for your physician to complete your exam. If you have preparation questions, please call our prep hotline 8am-5pm, Monday-Friday @ 489-1887, or 489-1865. TO PREPARE PURCHASE AT YOUR PHARMACY
You will need a prescription for the Nulytely/Dulcolax preparation-if a prescription is not included in the mailing,
please call our office to obtain a prescription
4 liters of Gatorade, Gatorade 2 or Crystal Light can be used to mix with the Nulytley to improve the flavor, but
water can also be used. No liquids that are red or purple.
SEVEN DAYS PRIOR TO YOUR PROCEDURE:
If you are on COUMADIN OR OTHER BLOOD THINNERS you must contact our office to determine when
you need to stop these medications prior to the procedure.
If you are DIABETIC AND ARE ON INSULIN you must contact our office for specific instructions.
Please call our office if you have questions about which medications you should and should not take.
Please do not take any iron supplements, over-the-counter vitamins, minerals or herbs until after your procedure.
THREE DAYS PRIOR TO YOUR PROCEDURE:
Begin a low fiber diet (no popcorn, seeds, nuts or raw fruits and vegetables) and stop all fiber supplements such
You may have a full liquid diet for breakfast. This includes cream of wheat, creamed soups, yogurt and
After breakfast, NO MORE SOLID FOOD UNTIL AFTER YOUR PROCEDURE.
Continue drinking clear liquids (apple juice, white grape juice, lemonade, black tea or coffee, chicken or beef
broth, soda/Gatorade/Jello and Popsicles are okay if they are NOT RED OR PURPLE
3:00 p.m.: Take 2 Dulcolax (bisacodyl) tablets and then stop drinking clear liquids until 5:00 p.m.
5:00 p.m.: Mix the Nulytely powder by filling the container to the 4 liter line with the fluid of your choice
Shake the solution until it is dissolved. Drink one glass (8 oz.) of the preparation every 10-15 minutes until half ( ½) the solution is gone. This will
If you experience nausea and vomiting while drinking the preparation, slow down or take a break from drinking the preparation. However, you must finish drinking the preparation to ensure the success of your procedure.
Continue to drink clear liquids all evening.
Beginning 4 hours before your procedure, drink the second half of the preparation, (if your procedure is at 10am,
you should start at 6am. If it is at 1pm, you should start at 9am). You must finish the second half of the prep within 2 hours of starting, so your stomach is empty for the exam.
You may continue to drink clear liquids until 2 hours prior to your procedure.
You may take your regularly scheduled medications (except oral diabetic medications).
DO NOT TAKE ANYTHING BY MOUTH FOR 2 HOURS PRIOR TO YOUR PROCEDURE.
Please bring a list of your current medications with you to the procedure.
NO DRIVING: If sedation is used, you must have a responsible adult to accompany you to your appointment and 2010 Copyright Digestive Health Clinic. All Rights Reserved.
Positively selected amino acid sites in the entire coding region ofCenter for Information Biology and DNA Data Bank of Japan, National Institute of Genetics, 1111 Yata, Mishima-shi, Shizuoka-ken 411-8540, JapanReceived 6 December 2000; received in revised form 10 April 2001; accepted 26 July 2001To predict the amino acid sites important for the clearance of hepatitis C virus (HCV) subtype 1
MINA MATIN, MD, and RONALD H. GOLDSCHMIDT, MD American Family Physician November 15, 2010 University of California, San Francisco Online Table A. Influenza Management Guide 2010-2011 BACKGROUND 2009 H1N1 Other Seasonal Influenza Special Considerations for HIV- Positive Patients Culprit viruses 2009 H1N1, a subtype of Commonly H3N2, another Sporadic cases of influenza have