INTESTINAL OPERATION: STANDARD BOWEL PREP
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Patient Name____________________________________________
Date of Operation________________________________________
Time to report to 5th Floor Galter ASU (ambulatory surgical unit)______________
For the purposes of safety, a thorough, cleansing of the colon is required. Early preparation consists of modifying dietary intake starting 72 hours before the procedure.
THREE DAYS PRIOR TO SURGERY Date:____________
Begin to remove hard-to-digest items from your diet. Examples of such
items are corn, spinach or other items of roughage which you have noted
pass through your system only partially digested. Switch your diet to breads,
pastas and other refined food items.
TWO DAYS PRIOR TO SURGERY Date: _______________
Further decrease dietary intake of any roughage and begin to eat a more
liquid diet. Foods such as jello, juices, cereals, breads and pastas or
noodles are examples of such food.
| 4 PM
6PM
9-1 1 PM |
Eat a light meal.
Drink the purgative as directed. The names of acceptable preparation solutions: a. Golytely [ ] b. Nu-Lytely [ ] c. Co-Lyte. [ ] After the purge is complete, take one Dulcolax tablet by mouth (no prescription is needed for Dulcolax). |
| The purge should take effect in 4-6 hours. If this does not occur, adminster a disposable enema, such a Fleets (R). If the purge seems ineffective or incomplete call Dr. Vazquez's office. | |
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| 8AM
12PM
6PM 1-2 hours prior to exam |
Fleets Phosphosoda( mix 1.5 oz in 4 oz water)
Fleets Phosphosoda(mix 1.5 oz in 4 oz water) Fleets Phosphosoda
Administer disposable enemas |
The purge should take effect in 4-6 hours. If this does not occur, adminster a disposable enema, such as Fleets (R).
If the purge seems ineffective or incomplete call Dr. Vazquez's office.
| ONE DAY PRIOR TO SURGERY | Date__________________ |
| 8AM
12PM
1 PM
2PM
6PM
1 1 PM |
Clear liquids for breakfast.
Clear liquids for lunch.
Take two Neomycin tablets and one Erythromycin base tablet.
Take two Neomycin tablets and one Erythromycin base tablet.
Clear liquids for dinner.
Take two Neomycin tablets and one Erythromycin base tablet. |
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Remember to take your regular prescription medications with some water. Such medications include hypertension medication, thyroid hormones and most other medications except those that affect blood coagulation such as Coumadin, aspirin or ibuprofen. If you have questions regarding the taking ofthese medications around the time of your exam, ask Dr. Vazquez about these issues.
In general do not take aspirin or aspirin containing medications for
1 week prior to your operation. Internal bleeding might occur ifaspirin
is in your system.
CLEAR LIQUID DIET
These items are allowed:
Water
Clear Broths:
Chicken broth, Beef brothJuices:
Apple juice or cider, Prune juice, Grape juice, Grapefruit juice (strained), Cranberry juice, Tang, Hawaiian Punch, Lemonade (strained), Kool AidSodas
Tea
Coffee
Clear Jello (without fruit)
Popsicles (without fruit/without cream)
Italian Ices
Salt, pepper, and sugar may be used.
These items are not allowed:
Milk
Cream
Milkshakes
Orange juice
Tomato juice
Cream soups
Any soups other than clear broth
Oatmeal
Cream of Wheat
Please Note:
You are allowed unlimited amounts of clear liquids until 10:00 pm of the night prior to your surgery. You should drink as much fluid as possible until 10:00 pm to prevent dehydration from the laxatives prescribed.
Anything you can hold up to the light and see through is considered a clear liquid.
Dr. Vazquez's Office
Telephone: (312) 649-6562
24-Hour Answering Service (for after hours and emergencies): (312) 915-8132
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Please feel free to e-mail Dr. Vazquez with any medical questions,
or contact our office with any other questions.
Richard M. Vazquez, M.D., F.A.C.S. 201 East Huron Street
Suite 11-250
Chicago, Illinois 60611
(312) 649-6562