Microsoft word - trilyte split pm.doc

INSTRUCTIONS for COLONOSCOPY
TRILYTE Preparation (Split-PM)
GASTROENTEROLOGY ASSOCIATES
of Northern Virginia, Ltd.
MEDICATIONS:
 Take your usual prescription medications.
 One week before procedure, stop taking iron,
PREP:
aspirin, Advil (ibuprofen), Aleve, Vitamin E or
herbal / iron supplements.
TRILYTE SOLUTION
 You may take TYLENOL (acetaminophen) &
other non-narcotic pain relievers prescribed by
 Starting at 7:00pm, drink an 8oz glassful every
your physician.
10 minutes until ½ the liquid is gone (2 liters.)
 If you use other prescription pain relievers, ask
**Refrigerate the remainder of the solution**.
the doctor or nurse when the last dose can be
 If you feel nauseated during the process, take a
taken prior to procedure.
break from drinking until your stomach settles
 If you take Coumadin or blood thinners, please
and restart the process again.
contact your primary doctor for specific
 At 9:00pm, take 4 Dulcolax tablets with water.
instructions on usage before, during and after
 Before retiring, drink at least three (3) 8oz
your procedure.
glasses of clear liquids to help prevent
dehydration.
You will need to purchase:
 TRILYTE KIT – PRESCRIPTION
* DAY OF COLONOSCOPY *
 DULCOLAX LAXATIVE (5mg Tablets)
***No Prescription Needed***
DATE: ____________________________
 At 5:00am, you must drink the rest of the
* DAY BEFORE COLONOSCOPY *
solution, 8oz every 10 minutes.
(This should be taken within two hours)
DATE: ______________________
AM - Fill the TriLyte container with water to the line
For PM appointments only:
indicated on the side of the bottle and refrigerate.
You are allowed to have a clear liquid breakfast
at 7:00am, then NOTHING TO EAT OR DRINK
DIET:
after that time.
 CLEAR LIQUIDS ONLY
 DO NOT EAT ANY SOLID FOODS ALL DAY
*YOUR PROCEDURE WILL BE CANCELLED IF YOU DO*
CLEAR LIQUIDS INCLUDE:
 Water
* Your driver must accompany you to your procedure
 Fruit juices w/o pulps – apple, white
and stay until the procedure is completed and you are
grape/cranberry, pineapple
ready to leave. NO TAXI CABS ARE ALLOWED. Do
 Clear broth or bouillon (chicken, beef or
not drive an automobile, operate machinery or drink
vegetable flavor)
alcohol for 12 hours after the procedure due to
 Tea
sedating effects of the medications used.
 Sugar and/or Honey
 Gatorade / Special K protein water
 Soda (regular or diet)
* If you’re having a problem with your colonoscopy
 Black Coffee (decaf / regular)
preparation after hours, please call our main line at
 Jell-O (Green, yellow and orange flavor ONLY)
(703) 698 – 8960 and the answering service will contact
 Popsicles or Italian Ice
the on call doctor for you.
 Kool-Aid or Flavored Drinks
 Hard Candy
DO NOT DRINK RED, BLUE OR PURPLE LIQUIDS

Source: http://novagi.com/prep/TriLyte%20Split%20PM.pdf