administration of enema
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Administration of an Enema
Prepared by: Salwa Maghrabi
Outlines
• Definition of Enema.• Purposes of enema.• Assessment for clients before
administering of enema.• The procedure :– Equipments.– The implementations.– Documentations
Objectives
• Define the enema.• Enumerate the purposes of using an
enema .• Assess the patient conditions before
administering enema.• Ability to administer enema for the
patient.
Definition of Enema
• an injection of a liquid through the anus to stimulate evacuation; sometimes used for diagnostic purposes
Assessment
1. Last bowel movement, amount , color and consistency of feces.
2. Presence of abdominal distension.3. Use toilet or commode ormust remain in bed anduse a bedpan.4. Has sphincter control.
Equipments
Cont’ Equipment
Large –Volume Enema Small- Volume Enema
Implementation
Preparations 1.Lubricate about 5 cm of the rectal tube.2.Run some solution through the connecting
tube of a large volume enema set and the expel any air in the tubing.
Implementation
Performance1. Introduce your self2. Identify the patient identity.3. Explain the procedure to the client.4. Wash hand.5. Provide patient privacy.6. Assist adult patient to left lateral position with
the right leg acutely flexed as possible.
Implementation Cont’
7. Put the disposable linen under the patient buttocks.
8. Insert the enema tube.• Left the upper buttock .• Insert the tube smoothly and slowly into the
rectum, directing toward the umbilicus.• Insert the tube 7 to 10 cm.• Ask the client to take deep breath and run small
amount of solution through the tube.
Implementation Cont’
• Never force tube or solution entry.9. Slowly administer the enema solution.• Raise the solution container and open clamp.• Or compress a pliable container by hand.• Hold or hang solution container no more
than 30 cm above the rectum.
Implementation Cont’
• Administer the fluid slowly.10.Close the clamp, and remove the enema tube
from the anus.11.Place the enema in a disposable towel as you
withdraw it .12.Encourage the patient to return the enema.13.Ask the client to remain lying down.
Implementation Cont’
12.Request that the patient return to the solution for appropriate amount of time .
13.Assist the patient to defecate.14.If a specimen of feces is required, ask the
client to use bedpan or commode
Implementation Cont’
Documentation :• 8/2/2010 10:00 am .states last BM few days
ago . Abdomen distended and firm. Bowel sound hypoactive. Fleet’s enema given per order resulting in large amount of firm brown stool. States he feels better M. Salwa, RN
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