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  • PHYSICIAN REMINDERS: DAY-BEFORE INSTRUCTIONS...aer midnight. Failure to do so may result in the need to reschedule your procedure. PLENVU Dose 1 • • • • • • • • •
1
3/1/19 PREP 1S/1P-006 PLENVU DAY-BEFORE PREP INSTRUCTIONS AM Doctor: __________________________________ Date of Colonoscopy: ___________ Arrival Time: _______ PM LocaLon: ☐ SC Endoscopy Center WC, 131 Summerplace Drive, West Columbia, SC 29169 ☐ SC Endoscopy Center NE, 11 Gateway Corners Park, Columbia, SC 29203 ☐ Other: ____________________________________________________________________________ 1. On the day before your procedure, ONLY consume clear liquids, such as: • Water • Clear broth • Apple juice • White cranberry juice • White grape juice • Ginger ale • Plain gelaLn • Frozen juice bars 2. On the day before your procedure, DO NOT drink any of the following: • NO Red/Purple liquids • NO Liquids you can’t see through • NO Alcoholic beverages 3. Stay hydrated. 4. Apply a dab of petroleum jelly around anus before and a^er each bowel movement for added ease and comfort. 5.IMPORTANT. DO NOT eat or drink anything a=er midnight. PHYSICIAN REMINDERS: IMPORTANT Do not eat or drink anything a^er midnight. Failure to do so may result in the need to reschedule your procedure. PLENVU Dose 1 • • • • • • • • • • • • • DATE: START: 4:00 PM Mix and Take Dose 1 of PLENVU Step 1. Use the mixing container to mix the content of Dose 1 Pouch with at least 16 ounces of water by shaking or using a spoon unLl it’s completely dissolved. This may take up to 2 or 3 minutes. TAKE YOUR TIME — SLOWLY finish the dose WITHIN 30 MINUTES. Step 2: Refill the container with at least 16 ounces of clear liquid. Again, TAKE YOUR TIME — SLOWLY finish the dose WITHIN 30 MINUTES. Dose 2: • • • • • • • • • • • • • DATE: START: 8:00 PM Mix and Take Dose 2 of PLENVU Step 1. Use the mixing container to mix the content of Dose 2 Pouch A and Pouch B with at least 16 ounces of water by shaking or using a spoon unLl it’s completely dissolved. This may take up to 2 or 3 minutes. TAKE YOUR TIME — SLOWLY finish the dose WITHIN 30 MINUTES. Step 2: Refill the container with at least 16 ounces of clear liquid. Again, TAKE YOUR TIME — SLOWLY finish the dose WITHIN 30 MINUTES. HELPFUL TIP: PLENVU can be refrigerated if used within 6 hours a^er it has been mixed with water. DAY-BEFORE INSTRUCTIONS:

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Page 1: PHYSICIAN REMINDERS: DAY-BEFORE INSTRUCTIONS...aer midnight. Failure to do so may result in the need to reschedule your procedure. PLENVU Dose 1 • • • • • • • • •

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:

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