Naples Day Surgery wants you to have a positive endoscopy experience through adequate information, preparation, and professional care. The Naples Day Surgery admission process starts when your physician's office schedules your procedure. Your physician provides our center with preliminary information about you and your procedure and selects a date and time. During your pre-procedure appointment with your doctor, you will receive written and verbal instructions specific to your procedure.

**PLEASE NOTE: the following are general. Your physician might require you to follow other instructions. This will be explained to you during your office visit. If you have any questions, please call your physician's office.

Instructions for Colonoscopy

Place: Naples Day Surgery South - 311 9th Street North, Suite 200. Park on the 1st or 3rd level of the NCH garage. Valet parking is also available and paid for by us.

• Arrange for transportation home from Naples Day Surgery IN ADVANCE. You may NOT drive yourself home after the procedure.
• Please do not wear jewelry.
• Discontinue aspirin or aspirin containing compounds, non-steroidal anti-inflammatory medicines, Coumadin (Warfarin), Persantine (Dipyridamole), Plavix, Ticlid, or other blood thinning medications prior to your colonoscopic examination unless otherwise instructed. Your doctor will tell you the number of days to stop these medications prior to your procedure.
• If you are a diabetic on Metformin (Glucophage), do not take this medicine the day of the preparation. For all other medicines for diabetes, be sure to get specific instructions from your doctor.
• Discontinue Lactulose (Cephalac, Duphalac), iron supplements, and all weight reducing medications including over-the-counter stimulants one week prior to the procedure.

One Day Prior to the Colonoscopy

• Clear liquid diet only. Please drink plenty of liquids.
• Take one and one-half (1 1/2) ounces of Fleet Phospho-Soda oral saline laxative in 1/2 glass of water, ginger ale, 7-up, or other clear bland liquid. Your doctor will tell you the proper time to do this. Note: Biting into a lemon or lime wedge before and after the Fleet makes it more tolerable.
• Repeat one and one-half (1 1/2) ounces of Fleet Phospho-Soda oral saline laxative in 1/2 glass of clear bland liquid at the time requested by your doctor.

Day of the Colonoscopy

• Continue with your clear liquid diet (see below) until eight hours prior to your procedure.
• Do not eat or drink eight (8) hours prior to the procedure.
• Take your usual heart, lung, blood pressure, and seizure medicines with a small sip of water early in the morning of your procedure.

Clear Liquid Diet: Includes Jell-O (not red, orange, or blue), clear soups, broths, clear juices (apple juice), Gatorade, tea, coffee (without milk), 7-up, Ginger Ale, etc.

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Instructions for Esophagogastroduodenoscopy (Upper Endoscopy)

• Arrange for transportation home from Naples Day Surgery IN ADVANCE. You may NOT drive yourself home after the procedure.
• Please do not wear jewelry.
• Discontinue aspirin or aspirin containing compounds, non-steroidal anti-inflammatory medicines, Coumadin (Warfarin), Persantine (Dipyridamole), Plavix, Ticlid, or other blood thinning medications prior to your colonoscopic examination unless otherwise instructed. Your doctor will tell you the number of days to stop these medications prior to your procedure.
• If you are a diabetic on Metformin (Glucophage), do not take this medicine the day of the preparation. For all other medicines for diabetes, be sure to get specific instructions from your doctor.
• Take your usual morning medicines with a small sip of water early in the morning of your procedure (except for those outlined above).
• Do not eat or drink eight (8) hours prior to the procedure.

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Your doctor has asked you to fill out a Pre-Assessment Form and Pre-Admission Demographic Form. This will be reviewed by a registered nurse. If there is a need to clarify information, you may receive a phone call. We look forward to caring for you during your endoscopy procedure at NDS.