High volume
PEG based bowel preparation
- Gold standard
- Isoosmotic agent, useful in patients where you want to avoid major shifts in fluid-electrolyte balance i.e. cardiac or renal patients
- Total 4 L solution, consumed
Low volume
- Sodium picosulfate (i.e. Pico-Salax)
- Picosulfate sodium (stimulant laxative)
- Magnesium oxide (osmotic laxative)
- Citric acid (osmotic laxative)
- Sodium sulfate
- PEG + additional agent
Add powder mixture to 150 mL glass of water and drink it. Then do it again 6 hours later.
Cannot be used in patients who cannot tolerate major electrolyte shifts which include
- AKI or CKD
- Heart failure
- End stage liver disease
- Pre-existing electrolyte abnormalities