PEG WITH ELECTROLYTES (BOWEL PREP)

(PegLyte; Colonic lavage solution)

Standard Prescription

PEG with electrolytes __mL/hr (__mL/kg/hr) PO/NG/gastrostomy until fluid from rectum is clear

PEG with electrolytes __mL PO/NG Q10 min until 4 L is consumed or fluid from rectum is clear

Dosages

Bowel Cleansing:
Children: 25-40 mL/kg/hr PO/NG/gastrostomy until fluid from rectum is clear (usually in 4-10 hrs).
Adults: 240 mL PO/NG Q10 min. until 4 L is consumed or fluid from rectum is clear.

Mechanism of Action

Colonic lavage solution; osmotic laxative.

Forms Supplied

Disposable jug reconstituted to 4 L of solution (PEG 3350 = 238.18 grams).

Sachet reconstituted in 1 L of water (PEG 3350 = 59.55 grams).

PegLyte contents (per litre):
PEG 3350 17.8 mmol,
Na + 126 mmol,
K + 10.2 mmol,
Cl - 35.3 mmol,
sulphate 40.4 mmol,
bicarbonate 20.1 mmol.

Comments

Chilling makes it more palatable. Do not add additional flavouring to the solution.

Patients should fast for 3 hours prior to ingestion.

Onset of first bowel movement: 1 to 2 hours

Use with care and guidance in children with active small/large bowel disease or strictures, impaired gag reflex, or aspiration risk.

Oral medications administered within one hour of bowel cleansing may have decreased absorption due to increased peristalsis

References

44, 437, 438

Last Edited

2019-08-13 01:35:31