PRINCIPLES INVOLVED IN ADMINISTERING ENEMA

PRINCIPLES INVOLVED IN ADMINISTERING ENEMA

Anatomy and Physiology - medical terms should be used to describe

any complaint, location of the pain and abnormalities of appearances and functioning of the patients body 

Microbiology - cleanliness of the patient's unit should be

checked before the patient is admitted; medical handwasing

Chemistry - characters of the bowel content is a result

of chemical reaction

PRINCIPLES INVOLVED IN ADMINISTERING ENEMA

Physics - solution to be administered should

be held at high position Psychology

provide privacy by draping the patient explain the procedure to the before

inserting the tube in the rectum Time and Energy - materials to be used must be

prepared before performing the procedure

GUIDELINES IN ADMINISTERING ENEMA

GUIDELINES IN ADMINISTERING ENEMA

1. Nurse should explain: procedure precautions to take length of time necessary

2. The amount of solution to be administered depends on the kind of enema, the age of the person, and the person’s ability to retain the solution.

GUIDELINES IN ADMINISTERING ENEMA

The following are approximate amounts:

GUIDELINES IN ADMINISTERING ENEMA

3. The force flow of the solution is governed by the:

height of the solution container the size of the tubing viscosity of the fluid resistance of the rectum

4. The higher the solution container is held above the rectum, the faster the flow and the greater the pressure in the rectum.

GUIDELINES IN ADMINISTERING ENEMA

5. The time it takes to administer an enema largely depends on the amount of fluid to be instilled and the clients tolerance.

6. The enema for adults are usually given at 40 to 43 C (105 to 110 F)

NURSING RESPONSIBILITIES

NURSING RESPONSIBILITIES

BEFORE: - the nurse is to check the

physicians order - the nurse must be familiar

with the various kinds of enemas

that may be ordered, their purpose and administration

- check patient’s ability to retain fluid and tolerate the activity ordered, their purpose and administration

- determine the presence of kidney or cardiac disease

NURSING RESPONSIBILITIES

DURING: - the nurse should explain the correct

procedure to the patient - assist the adult client to a left lateral

position, with the leg as acutely flexed as possible

- nurse must see to it that enema is administered to the correct patient

- encourage the patient to retain fluid as long as possible

- assist the patient to the bed pan

NURSING RESPONSIBILITIES

AFTER: - observe and evaluate results - record in the patient’s chart the

type of enema administered, amount of fluid instilled and the time it was given

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