Enema

Prepared By: Eddie M. Amboya Jr.

Enema

A solution introduced into the rectum to promote evacuation of feces or as a means

of introducing nutrients, medicinal substances, or opaque material for radiologic

examination of the lower intestinal tract.

Type of Enema:

Barium Enema

Barium Enema(Lower GI

series)

Is a special x-ray of the large intestine, which includes the colon and rectum.

P

Procedure for Enema

Con.

Con.

Procedure for Barium Enema

Normal Findings

Barium should fill the colon evenly, showing normal bowel shape and

position and no blockages.

Abnormal Findings

Acute appendicitis Colitis due to Crohn's disease

Colorectal cancer Colorectal polyps

Diverticulitis Twisted loop of the bowel (volvulus)

Ulcerative colitis

Nsg. Care

Patients are usually restricted to a liquid diet for 24 to 48 hours before the exam. They should not eat or drink after midnight on the day of the barium

enema Administer Laxatives or a cleansing enema for

bowel preparation. The patient's large intestine must be empty of stool to get useful images.

Encourage the patient to consume plenty of liquids before and after the exam. This helps to prevent

dehydration and constipation. Barium is a dehydrating substance.

Cont.

Educate the patient about the purpose of the exam and bowel preparation. When possible, let him know what to expect ahead of time. Inform the

client that it's normal to have white stools for a few days after the procedure.

should be prepared to allow the client to rest and eat after the procedure. The patient might be given

a laxative for constipation or to get rid of any barium that remains.

Do perennial care

Nsg. Care

Provide privacy. To prevent feeling of embarrassment.

Promote relaxation. To relax anal sphincter and facilitate insertion of rectal tube. Promote relaxation. To relax anal sphincter and facilitate

insertion of rectal tube. Do perennial care

Thank You For Listening