Unique Plan Description: GI Inpatient Bowel Prep
Plan Selection Display: GI Inpatient Bowel Prep
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-14 23:09:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-20 10:34:40
Available at all facilities: Yes

GI Inpatient Bowel Prep
Diet
	Clear Liquid Diet, with no red, purple or blue Jello or Fluids
		T;N
	NPO
		T;N, After Midnight
Medications
		Nulytely/GoLytely Prep(NOTE)*
	NuLYTELY
		4,000 mL, Powder-Reconstitution, By Mouth, Once, T;1600
	GoLYTELY
		4,000 mL, Powder-Reconstitution, By Mouth, Once, T;1600
		Nulytely/GoLytely Split Prep(NOTE)*
	NuLYTELY
		2,000 mL, Powder-Reconstitution, By Mouth, Q12H, T;1600, 2 Dose(s)/Time(s)
	GoLYTELY
		2,000 mL, Powder-Reconstitution, By Mouth, Once, T;1600, duration: 2 Dose(s)/Time(s)
		 If patient unable to tolerate Nulytely Prep and no evidence of impaired renal function (creatinine < 2.0, GFR >25-30) use the following prep:(NOTE)*
	magnesium citrate
		300 mL, Liquid, BY MOUTH, PREOP
			Comment: 300 mL = 1 bottle.
	Dulcolax
		20 mg, Tablet-Enteric-Coated, BY MOUTH, Once, NOW
		If patient unable to tolerate Nulytely Prep and evidence of impaired renal function (creatinine >2.0, GFR <25-30) use the following prep:(NOTE)*
		10 mg, Tablet-Enteric-Coated, BY MOUTH, Once, constipation
			Comment: Give 2 hours prior to start of Miralax prep.
	MiraLax oral powder for reconstitution
		238 gm, Powder, BY MOUTH, Once
			Comment: Mix with 64 oz clear cold gatorade. If patient diabetic, change to 64 oz Crystal Light. (DO NOT USE red or purple). Patient to drink 8 oz every 20 minutes.
	Dulcolax
		10 mg, Tablet-Enteric-Coated, BY MOUTH, Once
			Comment: Give 2 hours after completion of Miralax Prep.
		Neomycin Sulfate plus Erythromycin(NOTE)*
	erythromycin base
		1,000 mg, Tab, By Mouth, Once, Prophylaxis, T;1300
		1,000 mg, Tab, By Mouth, Once, Prophylaxis, T;1400
		1,000 mg, Tab, By Mouth, Once, Prophylaxis, T;2300
	erythromycin 250 mg oral delayed release capsule
		1,000 mg, Capsule, By Mouth, Once, Prophylaxis, T;1300
		1,000 mg, Capsule, By Mouth, Once, Prophylaxis, T;1400
		1,000 mg, Capsule, By Mouth, Once, Prophylaxis, T;2300
	neomycin
		1,000 mg, Tab, BY MOUTH, Once, Other- type in, Prophylaxis, T;1300
		1,000 mg, Tab, BY MOUTH, Once, Other- type in, Prophylaxis, T;1400
		1,000 mg, Tab, BY MOUTH, Once, Other- type in, Prophylaxis, T;2300
		Neomycin Sulfate plus Metronidazole(NOTE)*
	metroNIDAZOLE
		500 mg, Tab, By Mouth, Once, Other- type in, Prophylaxis, T;1300
		500 mg, Tab, By Mouth, Once, Other- type in, Prophylaxis, T;1400
		500 mg, Tab, By Mouth, Once, Other- type in, Prophylaxis, T;2300
	neomycin
		1,000 mg, Tab, BY MOUTH, Once, Other- type in, Prophylaxis, T;1300
		1,000 mg, Tab, BY MOUTH, Once, Other- type in, Prophylaxis, T;1400
		1,000 mg, Tab, BY MOUTH, Once, Other- type in, Prophylaxis, T;2300
		Late Night Neomycin Sulfate plus Metronidazole(NOTE)*
	metroNIDAZOLE
		500 mg, Tab, By Mouth, Once, Other- type in, Prophylaxis, T;0230
		500 mg, Tab, By Mouth, Once, Other- type in, Prophylaxis, T;0300
		500 mg, Tab, By Mouth, Once, Other- type in, Prophylaxis, T;0330
	neomycin
		1,000 mg, Tab, BY MOUTH, Once, Other- type in, Prophylaxis, T;0230
		1,000 mg, Tab, BY MOUTH, Once, Other- type in, Prophylaxis, T;0300
		1,000 mg, Tab, BY MOUTH, Once, Other- type in, Prophylaxis, T;0330
Patient Care
	Enema-Administer
		T;N, Tap water
			Comment:  Stat, Tap water, up to 6 enemas for Nu-lytely prep, if any solid stool is present 3 hours before procedure.  To be done am of procedure.
		T+1;0400, Tap water
			Comment: T+1;0400, Tap water, up to 6 enemas for Nu-lytely prep, if any solid stool is present 3 hours before procedure.  To be done am of procedure.

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase