1
Q
How do we manage bowel movement?
A
enemas and nutrition
2
Q
What are indicators for an enema?
A
prevent constipation
prior to colonoscopy, endoscopy, ultrasound
prevent faecal contamination during surgery
introduce contrast media, drugs or fluids
3
Q
Which pieces of equipment are required for an enema?
A
higginsons syringe large kidney dish lube gloves towels incontinence pads
4
Q
What are the different types of enema solution?
A
water- 1-2mls/kg
liquid paraffin- 2-3mls/kg
saline- 1-2mls/kg
barium sulphate- 5-10mls/kg
5
Q
What are complications of enemas?
A
overdistension of colon
colon rupture
fluid leakage into peritoneal cavity- peritonitis
haemorrhage
6
Q
How do we care for enema patients?
A
GA recovery temperature monitoring low residue diet monitor faecal output oral liquid paraffin or lactulose analgesia
