TRENDS in Microbiology Vol.12 No.9 September 2004 Human intestinal bacteria as reservoirsfor antibiotic resistance genes Abigail A. Salyers, Anamika Gupta and Yanping Wang Department of Microbiology, University of Illinois, Urbana, IL 61801, USA Human intestinal bacteria have many roles in human through the human colon on a regular basis are pathogens health, most of which are beneficial or neutral for the
Granditasca.orgGuide to your
Upper GI Endoscopy
Pre-Admission Phone Interview Date & Time: (you will be given the time of your procedure on this call) Date of Procedure: _ Your Upcoming Colonoscopy or Upper GI Endoscopy
At Grand Itasca, we want to make sure that your endoscopy is as pleasant as possible. This guide is designed to answer any questions you might have and to walk you through the preparations you will need to make before your procedure.
Should you have any additional questions, please feel free to contact us. Contact numbers are listed below.
Thank you for choosing Grand Itasca.
Day Surgery Reception: 218-999-1803After Hours Line: 218-326-3401Appointment Line: 218-326-7344 *if you need to cancel your procedure or you have questions you can reach the Surgical Reception at 218-999-1803 from 7:00am to 5:00pm Monday through Friday. After hours or on weekends please cal 218-326-3401 and ask for the House Supervisor.
7 days before the exam: • Do not take Aspirin, or any Aspirin products. Tylenol is • Stop taking iron or multivitamins that contain iron.
• If you use blood thinners such as Coumadin (warfarin) or Plavix, talk to your provider.
• If you are a diabetic and take medication to control your blood sugar follow the special instructions listed.
• Arrange transportation to and from your procedure and have someone available to stay with you the remainder • Pick-up prescriptions at your pharmacy. If it has been more than one week since your appointment was scheduled, please call your pharmacy before picking up, as they may have to reprocess your prescriptions.
Two days before the exam: • Do not eat raw fruits and vegetables or food containing nuts, corn or seeds.
Day before the exam:• Drink only clear liquids for breakfast, lunch and dinner. Solid foods or milk products are NOT al owed. Clear liquids include water, soda, broth, bouillon, black coffee, tea, Kool-Aid, clear juices, Gatorade, Jello, and popsicles.
12:00 (noon) - Take Tablets• Take 2 bisacodyl tablets with water.
• Do NOT chew or crush.
• Do not take the bisacodyl within 1 hour of taking an 1:00 pm - Mix Solution• Add lukewarm drinking water to top of line on bottle.
• Cap bottle and shake to dissolve the powder. You may refrigerate if you like cold liquids.
• The reconstituted solution will be clear and colorless. Do not add anything else, such as flavorings, to the solution unless it comes with the prescription.
6:00 pm - Drink Solution• Drink half the solution.
• Drink 1 (8 oz.) glass every 10 minutes (about 8 glasses total).
• Drink each glass quickly rather than drinking small amounts • If after drinking half of the solution you continue to have brown bowel movements, continue to drink until your bowel movements are no longer brown, but liquid and yellow or • Do not discard any remaining prep solution as you may need to drink more in the morning. Day of the exam:
• If your arrival time is 9:00am or later, drink 2 additional 8
ounce glasses of your prep solution at 6:00am fol owed by 8
ounces of water. • Take blood pressure and heart medications as usual.
• You may have sips of water up to 2 hours prior to your arrival • Register at the Emergency Room Entrance. You must have a
driver with you.
Post-Colonoscopy & FAQ
After you leave:• You may have some abdominal bloating or discomfort after the exam. Moving around will help relieve the gas pressure.
• You may resume your regular diet gradually. We recommend liquids and light foods the day of the exam.
• Complications of this exam are severe pain, rectal bleeding, shortness of breath or fever. If you experience any of these symptoms, call your doctor or the hospital immediately What is a colonoscopy?• A colonoscopy is a test to look at the lining of your large intestine. The purpose of the exam is to check for abnormalities, including growths called "polyps" that can lead to serious disease. A flexible colonoscope is inserted in your rectum by the doctor to examine your large intestine.
What are polyps?• Polyps are abnormal growths on the lining of the colon. Most polyps are not cancerous but some polyps have the potential to turn into cancer with time. Polyps can also bleed. For these reasons, most polyps are removed during a colonoscopy and sent to the laboratory for microscopic examination.
What preparation is needed?• The colon must be completely clean for the procedure to be performed. You may be given one or two different prep solutions to cleanse your bowel. You will also need to be on a clear liquid diet the day before your procedure.
1601 Golf Course Road // Grand Rapids, MN 55744 218-326-3401 I www.granditasca.org Colonoscopy FAQ Continued/
Upper GI Endoscopy Prep
What happens after the procedure? • After your procedure is complete, you will be taken back to your day surgery room where you will be monitored for approximately 1 hour. You can expect to feel drowsy for several hours afterward. You may experience some cramping or bloating due to the air introduced into the colon during the exam. You will not be able to drive or operate machinery the rest of the day. You will be given written discharge instructions and appropriate learning material before you go home. You must have an adult to stay at home with you for the remainder of the day. When will I find out the results of my test? • Your surgeon will talk to you and your designated driver before you leave and usually the preliminary results can be given to you at that time. If a biopsy was taken during the procedure it will be sent to the lab for examination. Results usually take 3-4 days. You will be contacted by phone or by letter with results. Upper GI Endoscopy Prep
1. Please fol ow the instructions the Operating Room staff will give you including no make-up, jewelry or nail polish. Leave your valuables at home. Wear loose fitting clothing. 2. Have a support person available to drive you to and from the hospital and stay with you for the remainder of the day. Enter through the Emergency Department. Register at the first desk through those doors. 3. DO NOT EAT ANYTHING AFTER MIDNIGHT the night before your procedure, You may have sips of clear liquids up until two hours prior to arrival time. You should not have more than 4 ounces. Clear liquids include water, apple juice, tea, black coffee. No dairy products. Upper GI Endoscopy FAQ
What is Upper GI Endoscopy? • it is a special exam of your upper gastrointestinal (GI) tract. If you are having symptoms of an upper GI problem, this procedure may be done to help find the cause. It can also help treat upper GI, as Should I take my medication the morning of my procedure? • You may take any essential medications, such as heart, blood pressure, asthma, and anti-seizure as usual. If you are a diabetic, take aspirin, Coumadin, or other blood-thinning mediations, refer to your special instructions.
What can I expect during the procedure? • Before the procedure starts, you will be given sedation medicine through an IV. Your blood pressure, pulse, breathing, and oxygen levels will be monitored continuously during the test. The procedure usually takes between 15 to 30 minutes to perform.
What happens after the procedure? • After your procedure is complete, you will be taken back to your day surgery room where you will be monitored for approximately 1 hour. You can expect to feel drowsy for several hours afterward. You may experience throat discomfort. You will not be able to drive or operate machinery the rest of the day. You will be given written discharge instructions and appropriate learning material before you go home. You must have an adult stay with you for the remainder of the day. When will I find out the results of my test? • Your surgeon will talk to you and your designated driver before you leave and usually the preliminary results can be given to you at that time. If a biopsy was taken during the procedure it will be sent to the lab for examination. Results usually take 3-4 days. You will be contacted by phone or by letter with results. 1601 Golf Course Road // Grand Rapids, MN 55744 218-326-3401 I www.granditasca.org Directions: Located in Beautiful North-Eastern Minnesota
From Highway 169
From US Highway 2 • Take Hwy 169 to Golf Course Rd.
• Take US Hwy 2 to Pokegama Ave • Head West on Golf Course Rd,, • Head South on Pokegama Ave to Golf Course Rd.
• After round-about, turn Right • Turn Right onto Golf Course Rd., into Grand Itasca • After round-about, turn Right into 1601 Golf Course Road // Grand Rapids, MN 55744 218-326-3401 I www.granditasca.org
EDITORE - PUBBLICITÀ - AMMINISTRAZIONE S O M M A R I O Euroedizioni S.r.l.Viale Lombardia 266 - 20047 Brugherio (MI)Tel 039.28708 - Fax 039.8942601e-mail segreteria: [email protected] IL FEDERALISMO FISCALE NEL CONTESTO DELLE AUTONOMIE FINANZIARIEdel Prof. Avv. Domenico Ciavarella . . . . . . . . . . . . . . . . . . IX MANOVRA ECONOMICA (D.L. N. 78/2010): LIMITI TEMPORALI