web site design by sidereal designs website developers

Patient Preparation


The only ScanSmart Screening CT test that requires patient preparation is the Virtual Colonoscopy. This prep begins the day before the exam and must be followed exactly to ensure that the colon is properly cleaned for the exam. Insufficient cleansing of the colon can make the detection of small polyps and tumors impossible.

To prepare for the exam, you must purchase a “Fleet Prep Kit #1” from your local pharmacy. The cost should be less than $5. Follow the directions in the kit exactly. The directions are re-printed below:

Day Bfore the Exam

8:00 A.M. Eat a light meal (see Diet Guidelines below)
12:00 Noon Lunch — All clear liquids. Drink at least 8 oz clear liquids(see Clear Liquid guidelines below)
1:00 PM Drink at least 8 oz clear liquids
2:00 PM Drink at least 8 oz clear liquids
3:00 PM Drink at least 8 oz clear liquids
4:00 PM Take Fleet Phospho-soda Solution
(see phospo-soda solution directions below)
Follow immediately with at least 8 oz of Clear Liquids
5:00 PM Drink at least 8 oz Clear Liquids
6:00 PM Dinner — All Clear Liquids
7:00 PM Drink at least 8 oz Clear Liquids
8:00 PM Drink at least 8 oz Clear Liquids
9:00 PM Take 4 Fleet Bisacodyl Tablets (see Bisacodyl Tablets directions below)

Day of Exam

Do not eat breakfast.
One hour before leaving for exam: Use Fleet Bisacodyl Suppository (see Bisacodyl Suppository directions below)


Clear Liquid Guidelines
· You must drink all the glasses of clear liquids listed in the instructions.
· You may drink more, but not less.
Clear Liquids include: strained fruit juices without pulp (apple, white grape, lemonade), water, clear broth or bouillon, and coffee or tea (without milk or nondairy creamer). You may have all of the following that are not colored red or purple: Gatorade, carbonated and noncarbonated soft drinks, Kool-Aid (or other fruit flavored drinks), plain jello (without added fruits or toppings), and ice Popsicles.


Diet Guidelines
Light Meal includes: clear soups (fat-free), small portions of skinless chicken or turkey, fish, white bread (no butter), plus any of the Clear Liquids recommended above.
Do not eat vegetables, fruits, nuts, fats, butter, milk, cheese, beef, port, lamb or whole grain cereals.


Directions for Fleet Phospho-soda Solution, Bisacodyl Tablets, and Bisacodyl Suppository:

· Fleet Phospho-soda Buffered Oral Saline Laxative.

Each bottle (45 ml) contains:
Active ingredients: Monobasic Sodium Phosphate 21.6 g and Dibasic Sodium Phosphate 8.1 g. Sodium Content: Each bottle (45 ml) contains 5,004 mg sodium

Phosho-soda Solution Directions:
Pour fleet Phospho-soda into one half glass of cold Clear liquid and drink. Fleet Phospho-soda usually works within one hour.


· Fleet Bisacodyl Tablets
Each enteric-coated tablet contains: Active ingredient: Bisacodyl USP 5 mg

Bisacodyl Tablets Directions: Take all four Fleet Bisacodyl Tablets unless directed otherwise by your doctor: Swallow tablets whole with a full glass of water. Do not chew or dissolve tablets. Tablets taken at bedtime are usually effective the following morning.
Do not give tablets to any person who cannot swallow without chewing, unless directed by a doctor. Do not take tablets within 1 hour after taking antacids and/or milk. This product may cause abdominal discomfort, faintness, rectal burning and mild cramps.

· Fleet Bisacodyl Suppository.
Each suppository contains: Active ingredient: Bisacodyl USP 10 mg.

Bisacodyl Suppository Directions: Remove foil wrap from suppository. Lie on side; insert suppository well up into rectum. Push suppository in gently as far as possible and against bowel wall. Wait 15 minutes before evacuating, even if urge is strong. Suppositories are usually effective within 15 minutes to 1 hour.

Note: If suppository is soft, put it in the refrigerator 1 to 2 minutes.
Important Information
Read these directions and labels at least 48 hours in advance of examination.
This kit will help you prepare for an important exam by cleaning out your lower bowel. It is very important that you follow each step and complete all instructions or the entire xray or endoscopic examination may have to be repeated.
Individual responses to laxatives vary. Remain close to toilet facilities once you take the Phospho-soda solution.
Use the 24 hour prep unless directed otherwise by your doctor.
Warnings:
DO NOT USE THIS PREP KIT:
· Unless directed by your doctor
· If you are on a sodium restricted diet
· If you have a kidney disease
· For children under 5 years of age.
Keep this and all drugs out of the reach of children. In case of accidental overdose of liquid or tablets, or ingestion of the suppository, seek professional assistance of contact a Poison Control Center immediately. As with any drug, if you are pregnant or nursing a baby, seek the advice of a health professional before using this product.
Professional Use Warnings: Do not use in patients with megacolon, as hypernatremic dehydration may occur. Use with caution in patients with impaired renal function as hyperphosphatemia and hypocalcemia may occur.