BOWEL
PREP FOR SURGICAL PROCEDURES WITH ANTIBIOTICS
Although small, the risk of
infection with abdominal surgery is real. In order to reduce the risk of infection
you will be on a special bowel preparation program.
TWO DAYS BEFORE
SURGERY............. DAY: ___________________________
DATE:
_________/_________/_______
Take your regular medications
(except aspirin or aspirin products), unless otherwise informed. You may have a regular breakfast and a
light lunch. After lunch between 1 and
3 PM you should take ONE of the following laxatives.....
[ ] 8 ounces of
Magnesium Citrate (Use
unless other specified)
[ ] 3 Dulcolax tablets
[ ] 3 tablespoons of Milk of
Magnesia
[ ] 2 ounces of castor oil
[ ] One bottle Fleets Phospha
Soda
NOTE: EXPECT DIARRHEA FROM ANY OF THESE LAXATIVES
After lunch you must limit your
diet to clear liquids. This is most important!! NO SOLID FOODS, NO MILK OR
DAIRY PRODUCTS...please!
We recommend a glass of juice,
tea, coffee, soda pop or water every hour.
You should push the fluids as much as possible.
-------------------------------------------------------------------------------------------------------------------------------
THE DAY BEFORE
SURGERY............. DAY:
________________________________
DATE:
__________/___________/_________
You must stay on the clear
liquids. At 10 AM you should take the
following oral antibiotics:
------ Neomycin 1 Gram
------ Erythromycin Base 1 Gram
These drugs should be repeated
at 1 PM. The drugs can be obtained from
the pharmacy at the hospital as most local drug stores will not carry them.
Unless otherwise notified, you
will have no food or liquids after midnight before your procedure.
Thank you for your help
Remember -- no Aspirin products
7-10 days before surgery!!!!!!
Patient Name ___________________________________
Patient
Address __________________________________
Date:_______________
NOTE:
This prescription needs to filled out and signed by your
doctor.
Seattle Urological
Associates
1221 Madison Street Suite #1210 Seattle, Washington
98104-1360
Tel: (206)
292-6488 Fax: (206) 623-2436
Rx
Neomycin
Tablets 500 mg #4
On the day
before the surgery take
Two
tablets at 10 am and 1:00 pm
Erythromycin
Base 500 mg #4
Two
tablets at 10:30 am and 1:30 pm
[X] Label
yes Refill NO
_______________________________M.D.
Substitution
Permitted