Surgical Services

Rangely District Hospital

Procedure Preparation Instructions – Extended Prep with Sutab

Important: Please read these instructions carefully. Failure to follow them may result in a delay or cancellation of your procedure for safety reasons.

General Instructions

• Transportation:
  You must arrange for a responsible adult (age 18 or older) to drive you home after your procedure.
  You will not be permitted to drive yourself.
• Anesthesia Restrictions:
  You will receive anesthesia. For the remainder of the day following your procedure, you may not:
  • Return to work
  • Drive or operate machinery
  • Sign legal or important documents
  • Make significant decisions
  • Consume alcohol or recreational drugs
• Medications:
  Some medications may need to be temporarily discontinued prior to your procedure.
  • If you take blood thinners, antidiabetic medications, or weight loss medications, specific instructions will be provided during your pre-procedure phone call.
  • If you are diabetic and use insulin, dosage adjustments may be required and will be discussed during your pre-procedure phone call.
  • Please note that hospital instructions may differ from pharmacy instructions.
• Hydration:
  Stay well hydrated during and after your bowel preparation.
• Nothing by Mouth (NPO):
  After completing your prep on the morning of your procedure, do not consume anything by mouth, including:
  • Food or liquids
  • Ice
  • Gum or breath mints
  • Chewing tobacco
  • Smoking
• Arrival Time:
  Please arrive 1 hour prior to your scheduled procedure time and check in at the registration desk. Surgical Services staff will escort you afterward.Check-in Time: ________________________
  Procedure Date: _______________________

Questions or Rescheduling

If you need to reschedule your procedure or have questions regarding preparation instructions or medications, please contact Surgical Services at:
970-675-4232 or 970-675-5011 ext. 149

Surgical Services

Rangely District Hospital

Bowel Preparation Instructions: Sutab with Magnesium Citrate

• Sutab is a prescription medication. Insurance coverage may vary.

Five (5) Days Before Procedure

• Begin a low-residue diet (see attached dietary guidelines).

Two (2) Days Before Procedure

• Follow a clear liquid diet only for the entire day.
• Starting at 5:00 p.m.:
  • Drink the first bottle of magnesium citrate slowly over 45 minutes.
  • Drink three (3) large glasses (8–10 oz each) of clear liquids over the next 2 hours.
  • Wait 2 hours after finishing the first bottle.
  • Drink the second bottle of magnesium citrate slowly over 45 minutes.
  • Drink three (3) additional glasses (8–10 oz each) of clear liquids over the next 2 hours.

One (1) Day Before Procedure

• Continue your clear liquid diet throughout the day.

Evening Before Procedure (Beginning at 5:00 p.m.)

• Open the first bottle of Sutab (12 tablets).
• Take one tablet every 1–2 minutes with at least 16 oz of water, completing all tablets within 20 minutes.
• One hour later: Drink 16 oz of water over 30 minutes.
• Thirty minutes later: Drink another 16 oz of water over 30 minutes.

Day of Procedure (Begin 6 Hours Before Scheduled Time)

• Repeat the same steps using the second bottle of Sutab:
  • Take 12 tablets with 16 oz of water.
  • Drink two additional 16 oz servings of water, spaced 30 minutes apart.

Additional Important Notes

• You should experience loose stools or mild diarrhea within a few hours of starting your prep.
• Bloating or stomach discomfort may occur before bowel movements begin.
• A successful prep results in clear, yellow liquid stools.
• Do not take any oral medications within 1 hour before starting your prep.
• You may drink additional water during the prep period and are encouraged to do so.
• Do not consume solid foods once your prep begins.
• Do not take anything by mouth after completing your prep. 

 

Download Full PFD Instrucitons Here 

Colonoscopy Extended Prep Inst Sutab.pdf