Microsoft word - instructions - pre procedure.dot

Southeastern Pain Consultants, P.C.
770 982-2099
Pre Procedure Instructions
Take all of your prescription medications as prescribed on the day of your procedure EXCEPT those noted below:
Stop all anti-platelet drugs one week prior to your procedure and restart them after the procedure. Examples of drugs in
this class include: anagrelide (Agrylin), clopidogrel (Plavix), dipyridamole (Aggrenox, Persantine), and ticlopidine (Ticlid).
Stop all anticoagulant drugs four days prior to your procedure and restart them after the procedure. Examples of drugs in
this class include warfarin (Coumadin). These medications may require laboratory testing prior to the procedure. Discuss
the details with your pain physician before stopping the medication.
Stop all diabetic medications the day of your procedure and restart them after your procedure and after you resume
eating and drinking. Examples of drugs in this class include glimepiride (Amaryl), glipizide (Glucotrol), glyburide
(Micronase, Diabeta, Euglucon), acarbose (Precose, Prandase), insulin, miglitol (Glyset), pioglitazone (Actos), repaglinide
(Prandin, Gluconorm), rosiglitazone (Avandia), and metformin (Glucophage, Glycon). If you take metformin and receive
radiocontrast (i.e. x-ray dye) during your procedure, hold this medication until the third day after your procedure, then
restart it.
Please do not take anything by mouth (except your medications as noted above with a sip of water) for at least 8 (eight) hours prior to your procedure. This includes food, drinks, chewing gum, chewing tobacco, snuff, dip, breath mints, lozenges, etc. Sedation may be provided for procedures. Many patients request sedation, but most procedures do not require it. If you
would like some sedation, we would be happy to honor your request. Typically, we use oral sedation (pills) for procedures
done in the office and intravenous sedation (injectable drugs) for procedures done elsewhere. Please let the nurse or pain
physician know that you would like some sedation prior to your procedure. Both oral and intravenous sedation will
generate an additional charge to the patient in most cases.

Certain pain management procedures require deeper levels of sedation or general anesthesia and will involve the
Anesthesia Service. They will provide an appropriate level of anesthesia for your procedure. This service does require
interview with, examination by, and discussion of options with an anesthesia provider prior to your procedure (sometimes
before the day of your procedure). Anesthesia services will generate an additional charge to the patient.

Patients requiring/requesting Anesthesia Services must not take anything by mouth (see Oral Intake) after midnight on the
day of their procedure unless otherwise instructed by the anesthesia provider.
All patients having procedures must have reliable transportation to and from the office or facility if they are provided any
sedation (oral or intravenous). Patients receiving sedation may not drive themselves. The patient must be driven by a
responsible, licensed adult known to the patient (i.e. no taxicabs and no drivers under the age of 18).
Please do not wear any jewelry or other metal objects, make up, nail polish or false fingernails or contact lenses to the office or facility. Dentures or other dental appliances which can be removed may be worn to the facility, but must be removed prior to transport to the procedure room.

Source: http://www.sepain.com/Forms/Preprocedure%20Patient%20Instructions.PDF