HAMPSHIRE GASTROENTEROLOGY ASSOCIATES, LLC
10 MAIN STREET, FLORENCE, MA 01062 (413) 586-8910
FAX (413) 584-7270 www.hampshiregi.com

•DAVID A. BERKMAN, MD • JOSEPH P. TASSONI, MD • DAVID R. KALMAN, MD • MICHAL GANZ, MD • VIKRAM BUDHRAJA, MD•

PLENVU Prep

Please follow all instructions: An incomplete prep can lead to a poor exam. If you experience nausea/vomiting, take a 30 minute break and then slowly resume the prep. Please stay well hydrated before and during prep.

7 DAYS BEFORE THE PROCEDURE:
• Have your prescription filled. Please follow the prep instructions listed below, NOT the instructions on the prep box.

5 DAYS BEFORE THE PROCEDURE:
• If you typically have less than 2 bowel movements per week then you must purchase an 8.3oz bottle of MiraLAX.
• Begin taking a dose of MiraLAX twice a day until the day before your procedure.

3 DAYS BEFORE THE PROCEDURE:
• AVOID raw fruits and vegetables, whole wheat/multigrain products, beans, popcorn, nuts, and seeds.

THE DAY BEFORE THE PROCEDURE:
• CLEAR LIQUIDS ONLY such as water, coffee, tea, broth, sodas, apple juice, Gatorade, Jell-O, popsicles, etc.
• Please avoid red and purple liquids, dairy and soy products, and juices with pulp.
• START YOUR PREP AT 4:00pm
STEP 1:
 Use container to mix the contents of the Dose 1 pouch with 16 ounces of water and stir/shake until completely dissolved.
 Drink the entire contents within 30 minutes. A straw may help.
STEP 2:
 Refill your mixing container with 16 ounces of clear liquid and drink within the next 30 minutes.

THE MORNING OF YOUR PROCEDURE:
• DRINK THE SECOND DOSE OF PREP 6 HOURS PRIOR TO YOUR PROCEDURE
STEP 1:
 Use the container to mix the contents of Dose 2 (Pouch A and Pouch B) with 16 ounces of water and stir/shake until completely dissolved.
 Drink the entire contents within 30 minutes. A straw may help.
STEP 2:
 Refill container with 16 ounces of clear liquid and drink within the next 30 minutes.
• ABSOLUTELY NOTHING BY MOUTH 4 HOURS BEFORE PROCEDURE
• ABSOLUTELY NO GUM, HARD CANDY, BREATH MINTS, ETC. AFTER MIDNIGHT

IF YOU ARE ON ANY DIABETIC OR BLOOD THINNING MEDICATIONS, PLEASE DISCUSS INSTRUCTIONS WITH YOUR PROVIDER OR CALL TO SPEAK WITH A NURSE. DO NOT STOP THESE MEDICATIONS ON YOUR OWN.

*Do not take any Advil or Aleve the morning of your procedure │ All piercings must be removed before arrival

YOU MUST HAVE A RIDE HOME. You will not be discharged from the Endoscopy Unit unless you are accompanied by a responsible adult who will either drive you home or accompany you home by taxi, Uber, or bus.

REPORT TO: ____ Cooley Dickinson Hospital – Endoscopy Unit (Emergency Entrance)
____ Valley Medical Group, 31 Hall Drive, Amherst – Ambulatory Surgical Center, Main Floor

DAY: ____________________ DATE: ___________________ ARRIVAL TIME: ____________

Updated 12/17/19 kao