SUPREP INSTRUCTIONS
Preparing for your Endoscopy
Please follow these guidelines, as they are very important in preventing complications before, during, and after surgery. Failure to follow these instructions could result in cancellation of surgery.
Arrive 1 hour before the procedure
PROCEDURE: __EGD ___COLON ___BOTH ___HALO ___PEG PLACEMENT/REMOVAL
·Please report to the information desk in the West Tower lobby at least 1 hour before your endoscopy appointment. Bring picture ID and insurance cards. Your anticipated length of stay will be 2 hours.
· Bring a list of all your medications, prescription and over the counter. Please include doses.
· Small children are allowed as far as the waiting room. An adult must remain with them at all times.
· Do not smoke for 24 hours before your scope.
· Do not use NON PRESCRIPTION over the counter medication for 5 days before surgery. This includes aspirin, ibuprofen (Motrin/Advil), cold remedies, diet products, or St. Johns Wort.
· Do not smoke Marijuana (pot) or use other street drugs for 5 days before surgery.
· Do not drink alcohol for 24 hours before surgery
· Do not wear jewelry, make-up, nail polish, or contact lenses. Valuables are best left at home.
· You may need antibiotics prior to procedure if you have a prosthetic heart valve or hip/joint replacement. Please contact your primary physician. We are able to call in those antibiotics along with your prep kit.
If you have any questions please call the office at (248) 682-1720
Listed below are the medications you are to continue and/or recommended to stop before your procedure. Please contact your physician’s office before stopping any of the medications listed;
· Take the following medications with a small sip of water the morning of surgery, anything for blood pressure, heart, breathing, seizures, or Parkinson’s disease.
· If you are diabetic, DO NOT take your diabetic medication the morning of procedure.
· If you are on any medication from a cardiologist, such as BLOOD THINNERS and/or ASPIRIN, it is recommended that you STOP taking the medication FIVE (5) days prior to procedure. Please speak with your physician before stopping these medications.
If having an EGD, BRAVO or HALO
· Please stop any anti-acid (PPI) medication one (1) day prior to procedure.
· You may NOT eat or drink ANYTHING after midnight the day before procedure. You may have water up until TWO hours before your procedure.
If having a COLONOSCOPY or FLEX SIG
·You are to follow the clear liquid diet the day before your procedure (see page 3). This diet is to be followed from the time you wake up until midnight. After midnight you are not allowed to eat or drink ANYTHING. You may have water up until TWO hours before your procedure.
· There will be a prep kit called into your pharmacy the Thursday before your procedure. You are to follow the directions for the prep kit the day before your procedure (see page 4).
IMPORTANT
***You must have someone to accompany you to the procedure. They must stay during the entire procedure. You will not be permitted to drive. If you do not have someone upon arrival to the hospital your procedure will be canceled.
***To cancel appointments call Dr. Ferguson’s office at 248-682-1720. The office is open Monday – Friday 9:00 a.m. – 5:00 p.m. If after hours you may call the office answering service at 248-682-1720. In the event you become ill from your prep or encounter an emergency please inform the answering service. Failure to call will result in a $250.00 fee.
CLEAR LIQUID DIET
You are to follow the diet the ENTIRE day before your procedure. From the time you wake up until midnight. You cannot have any solid food the entire day. After midnight you are not allowed to drink anything. You may have water up until TWO hours before your procedure.
The list below has all of the approved liquids. Please do not drink anything that is not on this list. Thank you.
Beverages: Soups:
Water Chicken broth /bouillon only
White Cranberry Juice
White Grape Juice Jell-O (green and yellow only)
Apple Juice
Lemonade (no pulp) Popsicles (green and yellow only)
Ginger ale
Sprite
Sierra Mist
7 up
Vernors
Lemon Lime Gatorade
Pedialyte
IMPORTANT: You must drink a lot of water. Drinking water will ensure that your prep is successful and that the procedure can be completed.
If you have any questions or concerns please feel free to call the office at
248-682-1720. Questions or concerns after hours please call 248-682-1720.
SUPREP BOWEL PREP KIT
The prep kit will be called into your pharmacy the Thursday before your procedure. It is to be completed the day before your procedure. Please do not follow the instructions in the booklet out of the box. Follow the instructions below.
At 12 NOON: Pour one (1) 6-ounce bottle of Suprep liquid into the mixing container. Add cool drinking water to the 16-ounce line on the container and mix. Drink all the liquid in the container. You must drink two (2) more 16-ounce containers of water
IMPORTANT: Do not forget to drink water in between cups of the suprep mixture. The more water you drink, the more successful the prep will be!
At 8 PM: Pour the remaining 6-ounce bottle of Suprep liquid into the mixing container. Add cool drinking water to the 16-ounce line on the container and mix. Drink all the liquid in the container. You must drink two (2) more 16-ounce containers of water.
You may need antibiotics prior to procedure if you have a prosthetic heart valve or hip/joint replacement. Please contact your primary physician. We are able to call in those antibiotics along with your prep kit.
If any questions or concerns please contact our office at:
Robert B. Ferguson M.D.
4256 Orchard Lake Rd
West Bloomfield, MI 48323
248-682-1720