Clean Out Preparation for Colonoscopy 11-11-10 - Swedish Health Services

[Pages:1]Clean Out Preparation for Colonoscopy ? Scheduled on _____________

You need the following medications which are found at pharmacies & grocery stores: MIRALAX ? one capful equals 17 grams EX LAX- comes in chocolate, and has 15 mg of sennoside (laxative) per square MAGNESIUM CITRATE ? comes in many flavors

THE DAY BEFORE THE PROCEDURE

1. Start clear liquid diet as soon as child awakens. Clear liquids include the following: ? Apple or white grape juice ? Tea ? Gelatin (Jello) -not RED! ? Pedialyte & Pedialyte Pops ? not RED ? Popsicles without milk or pulp ? not RED ? Clear broth ? Okay for clear soda such as Sprite and 7-Up ? No milk allowed ? Avoid red drinks; this complicates evaluation of the colon lining during the procedure.

2. Start the bowel cleansing preparation: ? 8:00 AM, before starting Miralax, take ___squares of Ex-Lax ? 9:00 AM Start Miralax o Mix _____ capfuls in _____ oz of clear liquids - juice, sport drinks, Crystal Light, water. o Take ______of the above doses of Miralax every 30-60 minutes. ? One hour after the last Miralax dose, give 2nd dose of Ex Lax. (See above for dose.) ? 4:00 PM If stools are not clear, give _______ oz magnesium citrate orally.

If your child is unable to complete the bowel preparation or becomes ill (fever, vomiting or respiratory symptoms) within 48 hours of the procedure, please contact our office at 206-215-6005.

PROCEDURE DAY

NOTHING BY MOUTH AFTER __________________________

Stop all medications with the exception of __________________

11-10

10-10

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