Administration of an 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.

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Administration of an Enema

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Administration of an enema

Administration of an Enema

Prepared by :

Salwa Maghrabi


Outlines

Outlines

  • Definition of Enema.

  • Purposes of enema.

  • Assessment for clients before administering of enema.

  • The procedure :

    • Equipments.

    • The implementations.

    • Documentations


Objectives

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

Definition of Enema

  • an injection of a liquid through the anus to stimulate evacuation; sometimes used for diagnostic purposes


Assessment

Assessment

  • Last bowel movement, amount , color and consistency of feces.

  • Presence of abdominal distension.

  • Use toilet or commode or

    must remain in bed and

    use a bedpan.

  • Has sphincter control.


Equipments

Equipments


Cont equipment

Cont’ Equipment

Large –Volume Enema

Small- Volume Enema


Implementation

Implementation

  • Preparations

  • Lubricate about 5 cm of the rectal tube.

  • Run some solution through the connecting tube of a large volume enema set and the expel any air in the tubing.


Implementation1

Implementation

  • Performance

  • Introduce your self

  • Identify the patient identity.

  • Explain the procedure to the client.

  • Wash hand.

  • Provide patient privacy.

  • Assist adult patient to left lateral position with the right leg acutely flexed as possible.


Implementation cont

Implementation Cont’

  • Put the disposable linen under the patient buttocks.

  • 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 cont1

Implementation Cont’

  • Never force tube or solution entry.

  • 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 cont2

Implementation Cont’

  • Administer the fluid slowly.

  • Close the clamp, and remove the enema tube from the anus.

  • Place the enema in a disposable towel as you withdraw it .

  • Encourage the patient to return the enema.

  • Ask the client to remain lying down.


Implementation cont3

Implementation Cont’

  • Request that the patient return to the solution for appropriate amount of time .

  • Assist the patient to defecate.

  • If a specimen of feces is required, ask the client to use bedpan or commode


Implementation cont4

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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