INSTRUCTIONS FOR OUTPATIENT COLONOSCOPY (NULYTELY PREP)
all NSAIDs (non-steroidal anti-inflammatory drugs) iron and aspirin ten (10) days prior to
your procedure. If you take Coumadin please notify the office, the medication may need to be
discontinued prior to your procedure *. Essential medications (heart, blood pressure, seizure, etc)
should be taken with small sips of water as long as they are taken at least two (2) hours prior to your
procedure. Tylenol is safe to take, if needed, prior to your procedure. You may take your
multivitamins. If you are diabetic, please read diabetic instructions below
. PLEASE BEGIN THESE INSTRUCTIONS ON:________________________________
1. A clear liquid diet should be started the day prior to the procedure. Drink clear liquids for
breakfast, lunch, and dinner; please do not have coffee today. Solid foods, milk, or milk products
are not allowed. Clear liquids include: chicken bouillon soup or broth, lemon, pineapple or white
grade Jell-0 (without added fruit toppings,) lemon tea, Gatorade, strained fruit juices without pulp
(apple, white grape, lemonade,) water, carbonated and non -carbonated soft drinks (7-Up, Crystal
Geyser) and ice popsicles. Do not have anything colored red/purple or dark.
2. At 2:45 p.m. take a 10-mg Reglan tablet. Reglan acts as an anti-nausea medication and
stimulates bowel contraction. Please do not take the Reglan if you are allergic to it.
3. At 3:00 p.m. Mix cherry flavored NuLytely with water as directed on the bowel preparation bottle
and begin drinking 8-10 ounces of solution every 10 minutes until NuLytely is completely consumed. NuLytely should be drunk at room temperature. Drinking refrigerated NuLytely can result in a drop of body temperature.
4. Following the completion of NuLytely and prior to going to sleep, take two Dulcolax tablets.
Dulcolax is an over the counter laxative and should purge residual liquid form the colon.
Clear liquids are allowed until 12:00 midnight with NOTHING TO EAT OR DRINK
AFTER MIDNIGHT EXCEPT FOR ESSENTIAL MEDICATIONS
(for blood pressure,
heart, seizures, etc. which may be taken with a small amount of water the morning of the
YOUR COLONOSCOPY HAS BEEN SCHEDULED FOR:
TIME:_________________(This includes your registration time).
LOCATION: ENDOSCOPY CENTER UKIAH VALLEY MEDICAL CENTER
MAKE ARRANGEMENTS FOR SOMEONE TO DRIVE YOU HOME.
A good bowel preparation is imperative for an optimal exam. Therefore, please follow instructions carefully
so as to avoid the necessity of canceling or having to repeat the exam due to poor preparation.
*If NSAIDs and aspirin must be continued, exceptions will be allowed after obtaining authorization from Dr. Matossian.
Should you have any questions concerning the prep, please feel free to call the office.
234-A Hospital Drive • Ukiah, CA 95482 • (707)462-0681 • FAX (707)462-4647
If you have diabetes and either take oral diabetes medication or insulin, your medication will need to be adjusted during the bowel preparation day and the day of your actual procedure.
Oral diabetes medication should not be taken on the day of the bowel preparation and the procedure
day. A finger stick glucose test should be performed the afternoon prior to the procedure. A
temporary increase in your glucose control with values in the 200's is acceptable. If the glucose
reading is above 300,
please contact the office for further instructions.
If you take insulin, the day prior to the procedure give yourself one-third
(1/3) of your standard
morning dose. Do not take the evening dose. Do a finger stick blood sugar test the afternoon prior to
the procedure. If the blood sugar is above 250, contact the office.
DO NOT give yourself any insulin the morning of the procedure.
Post Procedure Instructions
Once you have recovered from your morning procedure, you should give yourself one-half of
standard dose of insulin and resume with your typical lunch and dinner meal. The next day you
should return to your normal insulin dose and diet.
LIVING IN THE TWILIGHT ZONE What does it feel like to be surrounded by countries intent on wiping you off the face of the map? How do you cope with daily incitement of hate, chal enges to your legitimacy, threats of boycotts, slanderous accusations and the attitude of fair weather friends? Imagine how it feels to be an Israeli tourist in a foreign land, knowing that lurking somewhere out there
Retour à la vie A toi, Frank Gesret , petit frère dont le sacrifice n'aura pas été vain… A toi, Jacques Gesret , que je dois appeler "mon second père". Je n'ai pas d'autres mots… A toi, Erwin , qui m'a "re"mis au monde. A vous, Berotec-Duovent-Ventolin, pour votre aide incomparable… mais nos vies vont diverger aujourd'hui ! A toi, Jacques X , mon pneumolog