physician reminders: magnesium citrate day-before instructions · day-before instructions: prior to...
TRANSCRIPT
3/1/19 PREP1S/1P-002
DAY-BEFOREINSTRUCTIONS:
Priortoyourprocedure,purchaseaboxofDulcolaxtabletsandtwo10ozboJlesofMagnesiumCitratefromyourlocal
pharmacy.
Onthedaybeforeyourprocedure,
completeallfourstepsbelow:
Step1: TaketwoDulcolaxtabletsat:
☐12:30pmOR☐3:30pm
Step2: Drink10ozbo?leof
MagnesiumCitrateat: ☐1:00pmOR☐4:00pm
Step3: TaketwoDulcolaxtabletsat:☐ 4:30pmOR☐7:30pm
Step4: Drink10ozbo?leof MagnesiumCitrateat:
☐5:00pmOR☐8:00pm
DULCOLAX&MAGNESIUMCITRATEPREPINSTRUCTIONS AMDoctor:__________________________________ DateofColonoscopy:___________ ArrivalTime:_______PM
LocaTon: ☐SCEndoscopyCenterWC,131SummerplaceDrive,WestColumbia,SC29169
☐SCEndoscopyCenterNE,11GatewayCornersPark,Columbia,SC29203
☐Other:____________________________________________________________________________
1. Onthedaybeforeyourprocedure,ONLYconsumeclearliquids,suchas:
• Water
• Clearbroth
• Applejuice
• Whitecranberryjuice
• Whitegrapejuice
• Gingerale
• PlaingelaTn
• Frozenjuicebars
2. Onthedaybeforeyourprocedure,DONOTdrinkanyofthefollowing:
• NORed/Purpleliquids
• NOLiquidsyoucan’tseethrough
• NOAlcoholicbeverages
3.Stayhydrated.
4.Applyadabofpetroleumjelly aroundanusbeforeandabereach
bowelmovementforaddedease andcomfort.
5. IMPORTANT.DONOTeatordrinkanythingaUermidnight.
DULCOLAX&MAGNESIUMCITRATEPHYSICIANREMINDERS:
IMPORTANT
Donoteatordrinkanythingabermidnight.Failuretodosomayresultinthe
needtorescheduleyour
procedure.