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Prep for Barium enemas and IVP’s

 The day before the exam:

12 noon 1 cup bouillon soup or clear broth
12-16 oz. Glass clear apple juice or grape juice (no pulp)
½ cup plain jello (no cream, fruit or other additive)
12-16 oz glass skim milk or non fat milk.
1pm drink one 10 oz bottle of Magnesium Citrate (cold)*
2pm drink at least one full glass or more of water (12-16 oz)
3pm drink at least one full glass of clear fruit juice (12-16 oz)
5pm Supper –
1 cup bouillon soup or clear broth
12-16 oz glass clear apple or grape juice (no pulp)
½ cup plain jello (no cream, fruit or other additive)
7pm drink at least one 16 oz glass or more of water.
8pm drink at least one 16 oz glass of clear fruit juice (no pulp)
9pm ? Take two bisacodyl tablets with at least one full glass of water*
(DO NOT crush or chew tablets). Swallow them whole.
Do not take tablets within one hour of antacids or milk.
NOTE --- If you have a colostomy omit this step.

11pm Drink at least one 16 oz glass or more of water.

 The morning of the exam:

7am ? Use one bisacodyl rectal suppository as follows*
1. unwrap suppository.
2. Lie on your left side with right thigh raised.
3. Insert suppository into the rectum, pointed end first, as high as possible. Make sure that some part of the suppository touches the wall of the rectum.
4. Close thighs to aid in retaining the suppository.
5. Retain suppository for at least 15 minutes, if possible. A bowel evacuation usually occurs in 15 minutes to 1 hour.
NOTE --- If you have a colostomy omit this step.

• Contained in preparation kit or available from any pharmacy.

********WARNING**********

If you are a Diabetic and are taking GLUCOPHAGE, please call your physician for instructions concerning this drug at least three days prior to exam. Parenteral contrast studies with iodinated materials (for example, intravenous urogram, intravenous cholangiography, angiography and scans with contrast materials) can lead to acute renal failure and have been associated with lactic acidosis in patients receiving GLUCOPHAGE.
Revised 12/19/2003

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