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Riverwoods Imaging Center
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PATIENT INSTRUCTIONS

Riverwoods Imaging Center

Below are the instruction regarding the information you need as well as the advanced instructions for procedures at Riverwoods Imaging Center for medical and elective procedures:

  • COLONOSCOPY - Virtual and Optical (Special Instructions)
CT SCAN PROCEDURES

Expect to be pleasantly surprised on the day of your scan at Riverwoods Imaging.  Relax in a soothing, non-threatening atmosphere.  Upon arrival you will check in and complete patient paperwork.  Be sure to wear comfortable clothing, without zippers, snaps, or wires.  Women should wear a sports bra.  When the technologist is ready you will be ushered to the CT room and asked to lie face-up on the table.  The tech will guide you through holding your breath as you pass through the open ring of the scanner.  Our procedure is non-invasive, painless, and efficient.

One of our board-certified radiologists will read your scan and in a few days you will be mailed a CD of your images along with a detailed written report of your results for your records or to share with your doctor.  Should problems be evident, you will be referred to a specialist for follow-up care.

You will leave Riverwoods with peace of mind, knowing that a picture is worth a thousand words in the effort to ward off future illness.  Take the guesswork out of a diagnosis; call for your "picture of health" now.

It is best (and easiest) to wear a loose-fitting, two-piece outfit for an ultrasound exam. Only the abdominal area is exposed during this exam making this a very modest procedure, so you need not worry about having family or friends present.

Gender Determination
  • For a 2D Gender Determination, we ask that you wait until at least 15 weeks pregnant. We are aware that most doctor's offices usually do not or cannot determine gender by ultrasound until 19 to 21 weeks. 
  • Fortunately, we are able to determine gender earlier because of superior imaging equipment and specialized training by our ARMDS nationally board certified ultrasonographers. 
  • It is also good to hydrate for 3-4 days prior to your procedure.

Complete OB Ultrasound
  • Begin hydrating three or four days prior to your appointment by drinking eight to ten 8-oz. glasses of water or other liquids each day before you arrive for your ultrasound scan. Systematically hydrating in advance helps you to feel much more comfortable than a "hydration blitz" the day of your procedure. Hydration is also very beneficial to your unborn baby.
  • If, however there is no time for advance hydration, you need to drink at least 8-ounces of liquid one hour prior to your scan.
  • Arrive at your appointment with a full bladder.
  • It is very important that you do not empty your bladder or void until after your exam.

Note: It is essential that you follow these instructions. If you do not arrive for your scan with a full bladder, we may need to reschedule your appointment.
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Pelvic Ultrasound
  • Begin hydrating three or four days prior to your appointment by drinking eight to ten glasses of water or other liquids each day before you arrive for your exam. Systematically hydrating in advance helps you to feel much more comfortable than a "hydration blitz" the day of your procedure. Hydration is also very healthy.
  • If, however there is no time for advance hydration, you need to drink at least 8-ounces of liquid one hour prior to your scan.
  • Arrive at your appointment with a full bladder.
  • It is very important that you do not empty your bladder or void until after your exam.

Note: It is essential that you follow these instructions. If you do not arrive for your scan with a full bladder, we may need to reschedule your appointment.

Abdominal Ultrasound
  • If you are scheduled for an abdominal ultrasound, do not eat or drink for eight (8) hours prior to your scheduled scan. 
  • If you are on medications, you may continue to take your prescriptions with small sips of water as routinely directed.

Endovaginal (Transvaginal) Ultrasound
  • If you are scheduled for an endovaginal ultrasound, it is not necessary to have a full bladder so there is not advanced preparation required for this procedure.

Other Medical Diagnostic Ultrasound Procedures
  • For special instructions on Cardiac, Echocardiography, Vascular and other procedures, please call us at (801) 229-2002. 
ULTRASOUND PROCEDURES
CALL (801) 229-2002 FOR ANY QUESTIONS OR CONCERNS

A colonoscopy is a very safe diagnostic tool used to screen patients for possible bowel disease and disorders. We do both virtual and physical colonoscopies in our center. The preparation for each is the same. It is vital to follow these instructions carefully in order to increase the effectiveness of your screening. All medication used to thin your blood must be discontinued for a week prior to the procedure and you will need to begin a restricted fiber diet at least five days before the colonoscopy.

The day before the procedure you will be on a liquid diet and begin the bowel cleansing protocol, which includes taking two laxative tablets at noon the day before and then one dose of a laxative mixture the evening before and again the morning of. Nothing should be consumed within 4 hours of the colonoscopy. Please carefully follow the detailed instructions listed below. 

You Need to Purchase (found at any drugstore):

Bisacodyl tablets - Two (2) 5 mg tablets (Brand names: Dulcolax, Biscolax, Bisac-Evac, Fleet)  
Polyethylene Glycol 3350 powder (also known as PEG) - One (1) 238-gram bottle OR two (2) 119-gram bottles. (Brand names: MiraLAX, Glycolax)
    Note: Some bottles of polyethylene glycol 3350 powder require a prescription. Be sure to purchase the non-prescription bottle(s).
Gatorade G2 - 64 oz. (Two 32-oz. bottles) - refrigerated
    IT MUST BE GATORADE G2 – DO NOT SUBSTITUTE.  Also, do not use any red colored Gatorade G2. 
    This is the only acceptable drink for mixing with the bowel preparation. Refrigerate the Gatorade G2 until it is cold. 
A+D-type ointment for rectal irritation (optional)

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DIETARY INSTRUCTIONS:

One Week Prior to Your Procedure:
Discuss with your physician about stopping all medication that may thin your blood (i.e., Coumadin, aspirin, ibuprofen, naproxen, etc.) as well as iron pills. Do not take this medication for the week prior to your exam. If your doctor has questions, he/she should contact Dr. Butaud at Blue Rock.

Three Days Prior to Your Procedure:
It is recommended that you begin a restricted fiber diet which will result in less waste matter being discharged from the intestines and smaller feces, thereby making the gastrointestinal tract easier to clean. Do not eat nuts, seeds, popcorn, corn, broccoli, cabbage, salads and onion. Discontinue high fiber foods and fiber supplements such as Metamucil and Konsyl.

One Day Prior to Your Procedure:
Clear liquid diet all day: Drink only clear liquids, including for breakfast, lunch and dinner. Solid foods, milk or milk products are not allowed. As a general rule, if you can see your fingers through a glass of liquid, that liquid is ok to drink. One exception is any red-colored liquid. Do not drink anything red-colored because that can look like blood during the examination of your colon.

Remember!  No solid food, milk, or milk products are allowed for 24 hours prior to your procedure!

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BOWEL PREPARATION INSTRUCTIONS:
Your colon needs to be perfectly clean for the colonoscopy procedure to be accurate. It must be clear of any debris that might obscure the view inside the colon and rectum. Our regimen does not require a prescription and is less expensive than alternatives. Furthermore, it has been proven safe in a wide range of patients including the elderly, diabetic, hypertensive, cardiac and renal, as well as those with electrolyte imbalances. Patients add taste by mixing it with their favorite flavor of Gatorade G2. The prep is only one quart when mixed and given in a split dose regimen, which is better tolerated by patients:

Polyethylene Glycol 3350 (MiraLAX) / Gatorade Bowel Prep:
Note: Do NOT use this preparation if you have any or a combination of the following:  
- Severe kidney, heart, and/or liver disease
- Gastrointestinal obstruction, gastric retention, bowel perforation, toxic colitis, toxic megacolon, or ileus.
- A known allergy to polyethylene glycol 3350
If you have any of the above, contact your physician to make alternate arrangements.

If you do not have any of the above, follow the bowel cleansing regimen below which you need to start the DAY BEFORE THE PROCEDURE.   
The following items are needed for this regimen:
Bisacodyl tablets - Two (2) 5 mg tablets (Brand names: Dulcolax, Biscolax, Bisac-Evac, Fleet)  
Polyethylene Glycol 3350 powder (also known as PEG) - One (1) 238-gram bottle OR two (2) 119-gram bottles. (Brand names: MiraLAX, Glycolax)
   Note: Some bottles of polyethylene glycol 3350 powder require a prescription. Be sure to purchase the non-prescription bottle(s).
Gatorade G2 - 64 oz. (Two 32-oz. bottles) - refrigerated
   IT MUST BE GATORADE G2 – DO NOT SUBSTITUTE. Also, do not use any red colored Gatorade G2. 
   This is the only acceptable drink for mixing with the bowel preparation. Refrigerate the Gatorade G2 until it is cold. 

12:00 PM (Noon) - One Day Prior to Your Procedure: 
Take two 5 mg Bisacodyl tablets with water. Do NOT chew or crush the tablet. No antacids should be taken within one hour of taking the Bisacodyl delayed-release tablet. Wait for a bowel movement (or a maximum of six hours).

6 PM - One Day Prior to Your Procedure:
DOSE ONE  (After the first bowel movement or by 6 pm the evening before the procedure):  
After the first bowel movement or by 6:00 pm (whichever comes first), mix 119 grams (1/2 of 238-gram bottle or all of 119-gram bottle) with one 32 oz. bottle of cold Gatorade G2. Drink this over a one to two (1-2) hour time period.
Tip: For most patients, rapidly drinking a glassful is better than sipping an ounce or two at a time. Clear liquids are consumed faster and easier if they are ice cold, have little or no calories, and if sipped through a straw. Try pre-chilling your glass before use.

Between Doses:
Take other clear liquids between doses of the bowel preparation. Drinking at least one (1) gallon of clear liquids during the evening will improve the quality of bowel cleansing.

MORNING OF YOUR PROCEDURE:
To determine the time to begin the morning preparation, allow at least four (4) hours for the preparation, and add driving time to the facility. The closer this second dose is taken to the time of the procedure, the better.

DOSE TWO:
Mix the remaining Polyethylene Glycol 3350 powder in another 32 oz cold Gatorade G2. Drink this over one to two hours, timed to have it completed within four hours of the appointment time.

-  Stop drinking all liquids four (4) hours before the scheduled appointment time.  
-  Before the procedure eliminate as much as possible from your bowels.
-  If you are having a physical colonoscopy (requiring anesthesia), be sure to have a driver available to take you home following the procedure.


Don't hesitate to call us at (801) 229-2002 if you have any questions or concerns!


We provide the finest quality and service guaranteed!
Call (801) 229-2002 for an Appointment
COLONOSCOPY INSTRUCTIONS (Both optical and virtual)
HOMEINTERVENTIONAL SPINALMRICT/CATULTRASOUNDBONE DENSITYMAMMOGRAPHYX-RAYVEIN ABLATIONEMBOLIZATION
RADIOLOGYCOLONOSCOPY

Clear liquids include (without red-colored liquid):
Water
Gatorade
Ice Popsicle
Clear broth or bouillon
Coffee or tea (no milk, cream, or non-dairy creamers)
Strained fruit juices without pulp (apple, white grape, lemonade, etc.)
Kool-Aid or other fruit-flavored drinks
Carbonated and noncarbonated soft drinks
​Plain Jell-O (without added fruits or toppings)