Postoperative Delirium & Cognitive Decline Delirium & POCD DELIRIUM vs. POCD Wang et al., Am J Geriatr Psychiatry 2007;15:50 Incidence of Delirium J Am Geriatr Soc Population Incidence Hip fracture Berggren et al. Edlund et al. Morrison et al. Schuurman et al. Elective orthopedic Fisher et al. Rogers et al. Elective Liver resection
EgdprepInstructions for EGD Prep
Robert W. Herring, Jr., M.D.
Patient Name: ____________________________________________________________________________________ _________________________ Time: _________ 330 Wallace Road Suite 103Nashville, TN 37211(615) 832-5530 WE CANNOT GUARANTEE THE AMOUNT OF TIME YOU WILL BE IN OUR FACILITY.
PLEASE ASSUME IT WILL BE MOST OF THE DAY.
Please bring a list of all medications with correct/current dosages.
Any regular medication, especially heart, lung, seizure, or blood pressure medication SHOULD BE TAKEN
THE DAY OF THE TEST.
Remove all nail polish. Remove artificial nails, if possible.
You will not be able to drive/operate machinery until the next day because you will be legally intoxicated (drunk) after the procedure.
Peritoneal dialysis patients: Drain all dialysis fluid prior to arriving.
If you wear dentures, please do not glue them in.
If you have sleep apnea, please bring your CPAP machine.
Please do not bring any valuables with you, including jewelry, as we cannot be responsible for them.
Bring 1 or 2 people only (due to limited space) with you the day of the test. Your memory will be affected by the
medication we give you. Therefore, it is best to bring a relative or good friend to drive you home. Due to time
constraints, Dr. Herring will only tell the results of the test to the person who is in the waiting room when called.
Family/friends who choose to leave a phone number for patient pick-up will receive results from the nurse and they will
be written down.
DAY OF THE TEST:
If your test is scheduled before noon, DO NOT EAT OR DRINK ANYTHING AFTER MIDNIGHT THE NIGHT BEFORE YOUR TEST except for a small amount of water to take your regular medication. If your test is scheduled after noon, you may have a CLEAR LIQUID BREAKFAST BEFORE 7:00 a.m., but after 7:00 a.m. you should have nothing to eat or drink until after your test except for a small amount of water to take your regular medications. Examples of clear liquids are: water, tea or coffee with no cream, carbonated sodas, clear bouillon, apple juice, Gatorade, Jell-O, or Kool-Aid.
Do not take any antacids. For example: Carafate, Milk of Magnesia, or Tums. you are diabetic: Do not take any regular insulin. Take one-half (1/2) of other types of insulin. Do
not take any diabetes pills that lower blood sugar.
Please call and leave a message for the nurse at 615-832-5530 Monday through Friday, 8:00 a.m. to 4:00 p.m., if the
following applies to you:
You have heart valve disease or an artificial heart valve or have had rheumatic fever with heart damage.
LL I F YOU ARE ON ANY BLOOD THINNERS : Effient (prasugrel), Plavix (clopidogrel),
Ticlid (ticlopidine), Pradaxa (dabigatran etexilate mesylate), Xarelto (rivaroxaban), Agrylin
(anagrelide), Miradon (anisindione), Coumarin (dicoumarol), Coumadin (warfarin), Pletal
(cilostazol), Trental (pentoxifylline), Arixtra (fondaparinux), Persantine (dipyridamole), Heparin,
Lovenox Injection (enoxaparin), Jantoven (warfarin), Eliquis (apixaban) AND YOU WERE NOT
GIVEN SPECIFIC INSTRUCTIONS WHEN TO STOP IT, CALL US.
Plavix (clopidogrel) and Effient are stopped 10 days prior to the day of your test. On the same day you stop the Plavix or Effient start taking one (large size) 325 mg aspirin every day. ** Calls are generally returned in the evening unless it is an emergency situation. **
Gastroenterology Associates, P.A. 1165 Park Avenue Plainfield, New Jersey 07060 (908) 754-2992 Fax (908) 754-8366 Allan B. Cohen, M.D., F.A.C.G. David A. Goldenberg, M.D., F.A.C.G. Diplomat of the American Boards of Diplomat of the American Boards of Internal Medicine and Gastroenterology Internal Medicine and Gastroenterology What is the HalfLytely® and Bisacody