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Administration of an Enema

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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  1. Administration of an Enema Prepared by : Salwa Maghrabi

  2. Outlines • Definition of Enema. • Purposes of enema. • Assessment for clients before administering of enema. • The procedure : • Equipments. • The implementations. • Documentations

  3. 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.

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

  5. 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.

  6. Equipments

  7. Cont’ Equipment Large –Volume Enema Small- Volume Enema

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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

  14. 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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