LOWER EUS PREPARATION - PLEASE READ ALL INSTRUCTIONS CAREFULLY

These prep instructions CAN be used for patients with Renal/Kidney insufficiency or who are on dialysis.

BASIC INFORMATION

If you are taking the following medications: Aggrenox, Mobic, Celebrex, NSAIDS or Aspirins, please stop these 5 days prior to procedure.

If you are taking Blood thinners like Coumadin/ Jantoven/Warfarin/Halfprin/Heparin/Plavix/ Clopidogul/Effient/Pradaxa, please stop these 5 days prior to procedure. If you are taking Xarelto please stop it 72 hours prior to procedure. If you are taking Eliquis please stop it 48 hours prior to procedure.

If you are taking any supplements that contain iron, please stop those 5 days prior to the procedure.

If you are on a BLOOD THINNER, please contact your Primary Care Physician (PCP) to advise that you are stopping this medication. If you have questions regarding any other medications you are taking, please call your PCP.

DIABETIC PATIENTS: PLEASE CONTACT YOUR PCP PRIOR TO YOUR PROCEDURE FOR DIABETIC MANAGEMENT OF MEDICATIONS.

You will need to take the day off from work and have someone with at the facility while you are there. This person will drive you home. The facility will not release you without a responsible person to sign you out. You and your driver should plan on being at the facility a total of 2-3 hours.

Please note: There is a 2 BUSINESS DAY Cancellation policy for all services. If we do not receive at least a 2 BUSINESS DAY notice, you will be charged for the missed Procedure.

If you are a new patient to our office, please bring with you the New Patient Packet that was included with these instructions.

PREP INSTRUCTIONS

You will need to purchase from your pharmacy: 2 – Bottles of Fleets Enema

The day before the procedure, you must be on a clear liquid diet for breakfast, lunch, and dinner

DO NOT HAVE: Solid foods, milk or milk products are not allowed. Avoid anything with red, orange, or purple coloring.

Approved liquids: You may have water, tea, and coffee without cream, any juice without pulp, CLEAR soda, bouillon, Gatorade and flavored Jell-O - Only drink something that you can see through when holding it up to the light.

Have nothing to eat or drink after midnight.

On the morning of your procedure: 2 hours prior to leaving for your procedure, you will need to administer the first Fleets Enema. You should have results within 2-5 minutes

1 hour prior to leaving for your procedure, you will need to administer the second Fleets Enema. You should have results within 2-5 minutes.

Preferred Position - Lying on the left side with knees flexed, or in the knee-chest position. This position helps the enema solution flow easily into the colon. Remove protective cap from the pre-lubricated rectal tube before using. Insert tube gently, pointing it in the direction of the navel about 4-6 inches. Slowly squeeze bottle to empty contents into rectum. The rubber diaphragm at the base of tube prevents accidental leakage and assures controlled flow of the enema solution. Withdraw the tube from rectum. An extra amount of solution is provided to allow for the quantity normally remaining in the bottle after squeezing. Maintain position until defecation impulse is felt, usually within 2-5 minutes.

UNLESS OTHERWISE INSTRUCTED: TAKE ALL HEART AND BLOOD PRESSURE MEDICATION WITH A SIP OF WATER @ 6:00 AM THE DAY OF YOUR PROCEDURE. ALL OTHER MEDICATIONS MAY BE TAKEN AFTER THE PROCEDURE.

SCHEDULING INFORMATION

CHECK IN 2 HOURS PRIOR TO ABOVE TIME for the following location:

Menorah Medical Center

Entrance B – Outpatient Registration

5721 W 119th (119th & Nall), Overland Park, KS


CHECK IN 1 HOURS PRIOR TO ABOVE TIME for the following locations:


Physicians Surgery Center

3840 W 75th (75th & Mission), Prairie Village, KS


Research Medical Center

2330 E Meyer Blvd Medical Office Bldg

(not through main hospital lobby)

Kansas City, MO 64132


Centerpoint Medical Center

Main Entrance

19600 E 39th St S. Independence, MO


PLEASE CALL US FOR RESULTS 7 – 10 BUSINESS DAYS AFTER PROCEDURE