Bowel Prep

Colonoscopy: Clear fluids the day before procedure; NPO from MN, 1 gallon of Go-LYTELY (1 cup every 15 minutes, until done or until clear fecal effluents, consider NGT if not PT unable to take PO).

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Barium Enema: Clear liquids one day prior; NPO after MN;

1 day prior: 1 glass of water every hour from 1 - 7 PM; give Mag Citrate at 8 PM; 4 Dulcolax tab. at 11 PM; 1 Dulcolax supp at 7 AM.

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For refractory constipation OBR (ortho-bowel routine): docusate sodium (daily), dicacodyl suppository if no BM occur. Lactulose 30 cc bid, or, Fleets oral 45 ml qday +/- Fleets (phospho-soda) adult, 135 ml, PR qd.