| Band | Dulcolax (bed+day) | Tot. mg | MiraLAX caps | Tot. g | Gatorade | Cup | Start |
|---|---|---|---|---|---|---|---|
| 15-20 kg (33-45 lb) | 0 + 1 | 5 mg | 4 | 68 g | 16 oz | 3 oz | 1:00 PM |
| 21-30 kg (46-67 lb) | 1 + 1 | 10 mg | 7 | 120 g | 28 oz | 5 oz | 3:00 PM |
| 31-40 kg (68-89 lb) | 1 + 1 | 10 mg | 10 | 170 g | 40 oz | 7 oz | 3:00 PM |
| 41-50 kg (90-111 lb) | 2 + 1 | 15 mg | 12 | 200 g | 48 oz | 8 oz | 3:00 PM |
| Over 50 kg (>111 lb) | 2 + 2 | 20 mg | 14 | 238 g | 64 oz | 8 oz | 3:00 PM |
| Sub-band | MiraLAX caps | Tot. g | Mix in (Pedialyte or clear apple juice) |
|---|---|---|---|
| <5 kg | ¼ | 4 g | 2–4 oz |
| 5–9 kg | ½ | 8.5 g | 4–6 oz |
| 10–15 kg | 1 | 17 g | 6–8 oz |
| Saline enema | — | — | 5 mL/kg — evening at home if directed, otherwise by staff at facility; may repeat once if no stool after 30 min |
MiraLAX schedule: 1 dose/day × 2 days (days −3 and −2). Patient handouts: u15kgPEG / u15kgEnema.
| Band | Evening rescue | Morning rescue finish ≥ NPO before procedure |
Hard stop incl. BIG PREP |
If still not clear |
|---|---|---|---|---|
| 15-20 kg (33-45 lb) | 2 cap / 8 oz | 1 cap / 4 oz | 7 caps (119 g) | NS enema (10 mL/kg, staff-given at facility) or reschedule |
| 21-30 kg (46-67 lb) | 3 cap / 12 oz | 1 cap / 5 oz | 11 caps (187 g) | NS enema (10 mL/kg, staff-given at facility) or reschedule |
| 31-40 kg (68-89 lb) | 3 cap / 12 oz | 2 cap / 8 oz | 15 caps (255 g) | NS enema or reschedule |
| 41-50 kg (90-111 lb) | 4 cap / 16 oz | 2 cap / 8 oz | 18 caps (306 g) | Enema or reschedule |
| Over 50 kg (>111 lb) | 4 cap / 16 oz | 2 cap / 8 oz | 20 caps (340 g) | Enema or reschedule |
Trigger: 4 h after starting BIG PREP without clear/pale-yellow watery stool. NPO clears: 2 h SCC / 3 h PMCH — morning rescue must finish ≥ 2 h SCC / 3 h PMCH before procedure time. If still not clear after rescue: call office (317) 338-9450. Infants <15 kg: not applicable — see <15 kg block.
| Band | Disimpaction | Start | Daily maintenance |
|---|---|---|---|
| 15-20 kg (33-45 lb) | 1 cap / 4 oz clear × 2×/day × 3 d (weekend) | weekend | ½ capful of MiraLAX daily |
| 21-30 kg (46-67 lb) | 1 cap / 4 oz clear × 3×/day × 3 d (weekend) | weekend | ½ capful of MiraLAX daily |
| 31-40 kg (68-89 lb) | 1 cap / 4 oz clear × 4×/day × 3 d (weekend) | weekend | 1 capful of MiraLAX daily |
| 41-50 kg (90-111 lb) | 8 caps in 32 oz Gatorade over ~4 h (weekend) | weekend | 1 capful of MiraLAX daily |
| Over 50 kg (>111 lb) | 10 caps in 40 oz Gatorade over ~4 h (weekend) | weekend | 1 capful of MiraLAX daily |
| Surgery Center of Carmel (SCC) | St. Vincent — PMCH Peds Preop | GI Office — Harcourt Rd | |
|---|---|---|---|
| Address | 12188-A N Meridian St #150, Carmel, IN 46032 | 2001 W 86th St, Indianapolis, IN 46260 (Surgery Parking Lot) | 8402 Harcourt Rd #402, Indianapolis, IN 46260 |
| Facility phone | (317) 569-8250 | (317) 338-5851 | (317) 338-9450 |
| NPO clears | 2 h before procedure | 3 h before procedure | — |
| Split-prep finish | 2 h before procedure | 3 h before procedure | — |
| Arrival | 60 min before | 90 min before | 15 min before |
| Mobile sites | prep.giready.com egdcolon.giready.com egdcoloncapsule.giready.com | prep86.giready.com egdcolon86.giready.com egdcoloncapsule86.giready.com | capsule.giready.com |
Small blood with the first stool can be normal (especially if biopsies taken). Adult must stay 24 h after anesthesia. Most kids back to normal next day.
Unusual or unlisted meds: ask the family to prepare a list and call the office.
| Dose | Bottle | Window | Clears after | Cup |
|---|---|---|---|---|
| Evening | 1 × 5.4 oz (160 mL) | 5:00–9:00 PM | 5 × 8 oz cup over 5 h (40 oz) | 8 oz |
| Morning | 1 × 5.4 oz (160 mL) | 5–9 h before proc. | 4 × 8 oz cup (32 oz) | 8 oz |
No mixing · no Dulcolax · no pre-cleanout. Bottles ready-to-drink (pack ships as 2). Morning-dose clears must finish ≥ SCC 2 h / PMCH 3 h before procedure. GLP-1 hold applies (eligible band includes adolescents). Hidden patient sites: prepclenpiq{,86}.giready.com · egdcolonclenpiq{,86}.giready.com.
| Dose | Solution (mixed) | Window | Water chasers | Cup |
|---|---|---|---|---|
| Evening | 1 bottle (6 oz) + water to 12-oz fill line | 5:00–8:00 PM | 2 × 12 oz fills (24 oz) over 1 h | 12 oz |
| Morning | 1 bottle (6 oz) + water to 12-oz fill line | 10–12 h after Dose 1 · ≥ 5 h before proc. | 2 × 12 oz fills (24 oz) over 1 h | 12 oz |
Must be diluted in mixing container (do NOT drink straight). No Dulcolax · no pre-cleanout (sulfate stimulant built in; concurrent stimulants forbidden by label). All solution + water finish ≥ SCC 2 h / PMCH 3 h before procedure. Drug-interaction window: tetracyclines / fluoroquinolones / iron / digoxin / chlorpromazine / penicillamine — 2 h before + 6 h after each dose. All other oral meds ≥ 1 h before. GLP-1 hold applies. Hidden patient sites: prepsuprep{,86}.giready.com · egdcolonsuprep{,86}.giready.com.
| Band | Dulcolax (bed+day) | Lactulose | Gatorade | Cup | Start |
|---|---|---|---|---|---|
| 15–17 kg (33–37 lb) | 0 + 1 | 60 mL | 20 oz | 3 oz | 1:00 PM |
| 18–20 kg (38–44 lb) | 0 + 1 | 75 mL | 20 oz | 3 oz | 1:00 PM |
| 21–30 kg (46–66 lb) | 1 + 1 | 90 mL | 28 oz | 5 oz | 3:00 PM |
| Sub-band | Daily lactulose dose | Mix in (juice or Pedialyte) |
|---|---|---|
| <5 kg | 5 mL (1 tsp) | 2–4 oz |
| 5–9 kg | 10 mL (2 tsp) | 2–4 oz |
| 10–15 kg | 15 mL (1 tbsp) | 4–6 oz |
Rescue (15–20 kg): 30 mL / 8 oz evening, 15 mL / 4 oz morning. Rescue (21–30 kg): 45 mL / 12 oz evening, 15 mL / 5 oz morning. Pre-cleanout: 15 mL × 2/day (15–20 kg) or × 3/day (21–30 kg) × 3 d. Hidden patient sites: preplact{,86}.giready.com.
| Band | Caps | Tot. g | Mix in | Cup | Start | AM caps | Clears stop |
|---|---|---|---|---|---|---|---|
| 15-20 kg (33-45 lb) | 3 | 51 g | 12 oz | 3 oz | 6:00 PM | 1 | 2 h |
| 21-30 kg (46-67 lb) | 5 | 85 g | 20 oz | 5 oz | 6:00 PM | 1 | 2 h |
| 31-40 kg (68-89 lb) | 8 | 136 g | 32 oz | 7 oz | 6:00 PM | 1 | 2 h |
| 41-50 kg (90-111 lb) | 8 | 136 g | 32 oz | 8 oz | 6:00 PM | 1 | 2 h |
| Over 50 kg (>111 lb) | 8 | 136 g | 32 oz | 8 oz | 6:00 PM | 1 | 2 h |
This is the after-hours call. Evening MiraLAX the night before, one capful the morning of, clears stop the listed hours before. No stimulant by design — if a family has leftover Dulcolax from a colonoscopy prep, they do not take it. No pre-cleanout. No endpoint and no rescue dose: a smaller dose may not produce diarrhea and brown stool at 8 PM is not a failure — the opposite of what our colonoscopy sheet teaches, which is why families call.
| What | When | Detail |
|---|---|---|
| Clear liquids | 2 h | after the capsule is placed or swallowed |
| Light meal + MiraLAX | 4 h | 1 capful in 8 oz — keeps it moving |
| Not passed by | day 5 | abdominal X-ray — “not seeing it” is never reassurance |
| Pathway | Dose | Liquid first — never the bottle dropper |
|---|---|---|
| Office swallow | ~375 mg | PRIMARY 5.6 mL of 40 mg/0.6 mL by 10-mL oral syringe (or 6 mL of 62.5 mg/mL). SECONDARY 3 × 125 mg (375 mg), or 5 × 80 mg (400 mg). 30 min before ingestion. |
| Any endoscopic deployment | 333 mg | PRIMARY 5 mL of 40 mg/0.6 mL by 10-mL oral syringe. SECONDARY 80 mg (1.2 mL) in a 3-mL syringe, when the child will not take the 5 mL. 30 min before anticipated start, not rooming. Notify the anaesthesia provider for EVERY dose and document it. |
Before any dose: screen for bilious emesis, progressive distension or obstipation → hold and call. Stricture, prior obstruction or Crohn’s without a patency study → confirm before the capsule goes in. Delay >60 min past the anticipated start → call; a repeat dose needs a physician order. Retrieval is mandatory — the capsule stores the images, it does not transmit; kit is the silicone hat, the magnetic wand, sealed box, barcode stickers, FedEx envelope. Stock: ONE liquid concentration per site, bin labelled; 40 mg/0.6 mL, 62.5 mg/mL and 125 mg/5 mL look alike and a same-volume swap is a multi-fold error — never convert a strength by volume; anything else, stop and call. Full standing orders: docs/sources/2026-08-04-simethicone-standing-orders.md. Handout comes from schedule.giready.com — hidden patient site capsule.giready.com (printed QR only).