| Band | Dulcolax (bed+day) | Tot. mg | MiraLAX caps | Tot. g | Gatorade | Cup | Start |
|---|---|---|---|---|---|---|---|
| 15-20 kg (33-44 lb) | 0 + 1 | 5 mg | 5 | 80 g | 20 oz | 3 oz | 1:00 PM |
| 21-30 kg (46-66 lb) | 1 + 1 | 10 mg | 7 | 120 g | 28 oz | 5 oz | 3:00 PM |
| 31-40 kg (68-88 lb) | 1 + 1 | 10 mg | 10 | 170 g | 40 oz | 7 oz | 3:00 PM |
| 41-50 kg (90-110 lb) | 2 + 1 | 15 mg | 12 | 200 g | 48 oz | 8 oz | 3:00 PM |
| Over 50 kg (>110 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 | ¾ | 13 g | 6–8 oz |
| Saline enema | 10 mL/kg — evening at home if directed, otherwise by staff at facility | ||
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 (33-44 lb) | 2 cap / 8 oz | 1 cap / 4 oz | 8 caps (136 g) | NS enema (10 mL/kg) or reschedule |
| 21-30 kg (46-66 lb) | 3 cap / 12 oz | 1 cap / 5 oz | 11 caps (187 g) | NS enema (10 mL/kg) or reschedule |
| 31-40 kg (68-88 lb) | 3 cap / 12 oz | 2 cap / 8 oz | 15 caps (255 g) | NS enema or reschedule |
| 41-50 kg (90-110 lb) | 4 cap / 16 oz | 2 cap / 8 oz | 18 caps (306 g) | Enema or reschedule |
| Over 50 kg (>110 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 ≥ that window before procedure time. If still not clear after rescue: call office (317) 338-9450. Infants <15 kg: not applicable — see <15 kg block.
| Band | Option A (intensive) | Start | Daily maintenance |
|---|---|---|---|
| 15-20 kg (33-44 lb) | 1 cap / 4 oz clear × 1×/day × 5 d | -5 d | ½ capful of MiraLAX daily |
| 21-30 kg (46-66 lb) | 1 cap / 4 oz clear × 2×/day × 5 d | -5 d | ½ capful of MiraLAX daily |
| 31-40 kg (68-88 lb) | 1 cap / 4 oz clear × 4×/day × 3 d (weekend) | weekend | 1 capful of MiraLAX daily |
| 41-50 kg (90-110 lb) | 8 caps in 32 oz Gatorade over ~4 h (weekend) | weekend | 1 capful of MiraLAX daily |
| Over 50 kg (>110 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 | |
|---|---|---|
| Address | 12188-A N Meridian St #150, Carmel, IN 46032 | 2001 W 86th St, Indianapolis, IN 46260 (Surgery Parking Lot) |
| Facility phone | (317) 569-8250 | (317) 338-5851 |
| NPO clears | 2 h before procedure | 3 h before procedure |
| Arrival | 60 min before | 90 min before |
| Mobile sites | prep.giready.com egdcolon.giready.com | prep86.giready.com egdcolon86.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.