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3/1/19 PREP1S/1P-006
PLENVUDAY-BEFOREPREPINSTRUCTIONS AMDoctor:__________________________________ DateofColonoscopy:___________ ArrivalTime:_______PM
LocaLon: ☐SCEndoscopyCenterWC,131SummerplaceDrive,WestColumbia,SC29169
☐SCEndoscopyCenterNE,11GatewayCornersPark,Columbia,SC29203
☐Other:____________________________________________________________________________
1. Onthedaybeforeyourprocedure,ONLYconsumeclearliquids,suchas:
• Water
• Clearbroth
• Applejuice
• Whitecranberryjuice
• Whitegrapejuice
• Gingerale
• PlaingelaLn
• Frozenjuicebars
2. Onthedaybeforeyourprocedure,DONOTdrinkanyofthefollowing:
• NORed/Purpleliquids
• NOLiquidsyoucan’tseethrough
• NOAlcoholicbeverages
3.Stayhydrated.
4.Applyadabofpetroleumjelly aroundanusbeforeanda^ereach
bowelmovementforaddedease andcomfort.
5.IMPORTANT.DONOTeatordrinkanythinga=ermidnight.
PHYSICIANREMINDERS:
IMPORTANT
Donoteator
drinkanything
a^ermidnight.
Failuretodoso
mayresultinthe
needto
rescheduleyour
procedure.
PLENVU
Dose1•••••••••••••
DATE:START:4:00PM
MixandTakeDose1ofPLENVU
Step1.UsethemixingcontainertomixthecontentofDose1Pouchwithatleast16ouncesofwaterbyshakingorusingaspoonunLlit’scompletelydissolved.Thismaytakeupto2or3minutes.TAKEYOURTIME—SLOWLYfinishthedoseWITHIN30MINUTES.
Step2:Refillthecontainerwithatleast16ouncesofclearliquid.Again,TAKEYOURTIME—SLOWLYfinishthedoseWITHIN30MINUTES.
Dose2:•••••••••••••DATE:START:8:00PM
MixandTakeDose2ofPLENVUStep1.UsethemixingcontainertomixthecontentofDose2PouchAandPouchBwithatleast16ouncesofwaterbyshakingorusingaspoonunLlit’scompletelydissolved.Thismaytakeupto2or3minutes.TAKEYOURTIME—SLOWLYfinishthedoseWITHIN30MINUTES.
Step2:Refillthecontainerwithatleast16ouncesofclearliquid.Again,TAKEYOURTIME—SLOWLYfinishthedoseWITHIN30MINUTES.
HELPFULTIP:
PLENVUcanberefrigeratedifusedwithin6hoursa^erithasbeenmixedwithwater.
DAY-BEFOREINSTRUCTIONS: