Colonoscopy: PLENVU Same Day Preparation

  • If you are a diabetic, hold your oral diabetic medication the morning of the procedure. Check your blood sugar the morning of the procedure. If you use insulin or an insulin pump, check with your primary care doctor for instructions during your prep and the day of your procedure. Please bring your insulin with you the day of your procedure. Drink clear fruit juice if your blood sugar gets low.
  • If you are on a medication to thin your blood (an anticoagulant or antiplatelet), do not stop your blood thinning medications until you hear from our office. We will contact your physician who prescribes this medication for instructions and notify you. If you have not heard from us a week before your procedure, please call our office at (937) 320-5050 to speak with your physician’s medical assistant.
  • If you are on aspirin or NSAIDs, you may continue to these medications.
  • If you take iron or vitamins containing iron, hold these medications for 5 days before procedure.
  • If you have asthma, bring your inhaler with you to your procedure.
  • If you have sleep apnea and use a CPAP machine, please bring it with you to your procedure.

Seven Days Before Your Procedure

  • Avoid eating nuts, seeds, flax seed, iceberg lettuce, corn, popcorn or tomato skins.
  • Purchase the prep supplies listed. Your prescription will be electronically sent to your pharmacy or enclosed.
  • Review the instructions below for information regarding when to begin and how to take your bowel prep.

PLENVU Items to Purchase

  • 1 PLENVU Bowel Prep Kit by prescription.
  • Items from the clear liquid diet list such as Jell-O, broth and clear juices or drinks
  • In some patients, bowel preps may cause urgency of bowel movements, and you may want to pad your undergarments and bedding. Desitin cream may help if the rectal area becomes irritated by frequent stools during your preparation.

Examples of a Clear Liquid Diet

Clear liquids are any liquid that you can see through. Do not consume any red liquids or alcoholic beverages.

CLEAR LIQUIDS INCLUDE:

  • Water or Vitamin Water (no red flavors)
  • Coffee or tea without creamer
  • Jell-O (no red flavors)
  • Sport drinks like Gatorade, G2, Powerade or Propel (no red flavors)
  • Popsicles (no red flavors)
  • Broth or bouillon
  • Ensure Clear Peach Flavor
  • Carbonated beverages like Coke, 7UP, or Mountain Dew
  • Apple juice or white grape juice

The Day of the Procedure

Consume only clear liquids in place of solid foods. The correct timing of DOSE 1 and DOSE 2 is essential to an effective preparation. The Quality of the preparation has a profound impact on how well the physician is able to detect small lesions in the colon. If you must travel an hour or longer to reach our facility, you should begin this step of your preparation at least 7 hours before your procedure but no greater than 10 hours before.

Start DOSE ONE 7 hours prior to your procedure

  • Step 1: Using the mixing container to mix the contents of the DOSE 1 pouch with at least 16 ounces of water. Shaking or stirring until it is completely dissolved. This may take up to 2-3 minutes. Actual solution is clear. Drink all of DOSE 1 slowly within 30 minutes.
  • Step 2: Refill the container with at least 16 ounces of clear liquid. Take your time and slowly finish all of it within 30 minutes.

After completing the laxative, continue clear liquids.

Start DOSE TWO 5 hours prior to your procedure, and at least 2 hours from starting DOSE ONE.

  • Step 1: Use the mixing container to mix the contents of DOSE 2 with at least 16 ounces of water. Shaking or stirring until it is completely dissolved. This may take up to 2-3 minutes. Drink all of DOSE 2 slowly within 30 minutes. Actual solution is clear.
  • Step 2: Refill the container with at least 16 ounces of clear liquid. Take your time and slowly finish all of it within 30 minutes.

Other Notes

  • 4 HOURS PRIOR to your procedure, have NOTHING to eat or drink, including no gum, no hard candy and no chewing tobacco OR YOUR PROCEDURE MAY BE CANCELLED.
  • Using a small amount of water, take your prescription medications as you usually do unless you have been instructed to “hold” the medication prior to the procedure.
  • It is very important that you take your blood pressure or heart medication as usual.
  • You may brush your teeth the morning of the procedure

A Few Reminders Before Leaving Home

  • You must have a driver (no taxis or buses) to take you home after the procedure.
  • Bring a list of your current medications and any allergies to medication.
  • Bring your insurance cards and driver’s license/picture ID with you.
  • If you are a diabetic, check your blood sugar at home before your procedure.
  • If you have an implanted cardiac defibrillator, it is very important that you bring the card identifying the device manufacturer, model, and serial number.
  • Wear comfortable clothing and shoes.
  • You may wear your dentures, hearing aids, contacts, or glasses; however, you may be asked to remove them for the procedure. Please leave your jewelry at home.

Questions?

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