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The Enemas

One of the functions of the Nursing Assistant is to administer an enema.
should know how to prepare the necessary materials as well as its proper administration.
The enema is the introduction of a liquid solution via rectal indestino inside the bulk. Its purpose cleaning, diagnostic or therapeutic purposes.
enemas are administered under medical supervision.







Enemas Types:

- cleaning or evacuants: Are given to promote the elimination of feces. produces a stimulus on the intestinal wall by promoting increased peritaltismo.
prescribes for constipation is to clean either a radiologic test for the endoscopy, before some surgical procedures before delivery ...

not be given an enema:

• In patients who have sustained abdominal trauma.
• Patients with intestinal obstruction.

enemas Types:

• of soapy water: is composed of warm water at 37 degrees Celsius and dissolved soap in it. Saline
• : It consists of warm water with a certain proportion of common salt. Commercial
disposable
• : They are made with hypertonic solutions that irritate the intestinal mucosa.

Materials Needed:

• rectal probe.

• cleaning solution: composition and amount to be administered according to the medical regimen.

• irrigator System: Used when you do not use a commercial enema.

• gloves:

• Sponge jobonosa:

• Salva beds:

• kocher clip:

• Wedge:

• towel.
• Lubricant:

• Bath: perineal hygiene

Action Protocol:
-Prepare the necessary material and the solution used according to doctor's schedule . Explain the patient-
technique to use.
-Maintain the privacy of the patient, calling out to passengers if huviese and use screen or curtains if it was not a single room.
-Wash hands:




-Wear gloves:
-Place the patient in left lateral position. Place
-saving beds needed: to avoid wetting or soiling the patient's bedside. Place
-rectal probe:

1. Lubricate the tip of the rectal probe 10 centimeters.
2. Instruct the patient to breathe deeply and exhale slowly, as this promotes relaxation of the external anal sphincter. Enter
3. rectal probe (about 7-10 cm in adults) in one of the expirations.

"If there is a commercial enema: Fill the bag with the solution and purging the system scheduled to open irrigator turn off the water once it is purged.
-Connect system to the rectal probe.
-Have the bag with the solution to manage such a way that is at a height of 30-40 cn higher than the patient.

-Open valve slowly to system begins to enter the liquid.
"Once the solution to remove the probe and maintain the patient's buttocks tightened a few minutes until they disappear in a bowel movement.
"The patient will have to retain the solution for 5 to 10 minutes to be effective.

• If the patient can go to the bathroom, you indicate that you can go and retain the maximum fluid possible time.
• If the patient could go to the bathroom: It will let you put the wedge and hygiene will be done once expelled the enema.

-Remove gloves.
-Wash hands.
-Wear gloves.
-Arrange for the patient.
-Collect the material.
-Ventilate the room a few minutes.
-Note technique and outcome.
-After a few minutes to let the passengers if any.

Note:
"If during the procedure the patient complained of pain will stop the process until the pain eases and try the enema more slowly in the key regulating the flow.

-De retention: This type of enemas should be retained the time scheduled by the doctor (usually 30 minutes).
retention enemas Types:

• Opaque: is the introduction of a slurry and to visualize the large intestine during a radiological test. Medicated
• : They antibiotics that are incorporated into the bloodstream.
• Oily using olive oil which softens the stool making it easier to pass.

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