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. PURPOSES CleansingCarminativeRetention Return flow

6. Assessment 1.Last bowel movement, amount, color and consistency of feces. 2.Presence of abdominal distension. 3.Use toilet or commode or must remain in bed and use a bedpan. 4.Has sphincter control.

7. Equipments

8. Cont’ Equipment Large –Volume EnemaSmall- Volume Enema

9. Implementation  Preparations 1.Lubricate about 5 cm of the rectal tube. 2.Run some solution through the connecting tube of a large volume enema set and the expel any air in the tubing.

10. Implementation  Performance 1.Introduce your self 2.Identify the patient identity. 3.Explain the procedure to the client. 4.Wash hand. 5.Provide patient privacy. 6.Assist adult patient to left lateral position with the right leg acutely flexed as possible.

11. Implementation Cont’ 7.Put the disposable linen under the patient buttocks. 8.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.

12. Implementation Cont’ Never force tube or solution entry. 9.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.

13. Implementation Cont’ Administer the fluid slowly. 10.Close the clamp, and remove the enema tube from the anus. 11.Place the enema in a disposable towel as you withdraw it. 12.Encourage the patient to return the enema. 13.Ask the client to remain lying down.

14. Implementation Cont’ 12.Request that the patient return to the solution for appropriate amount of time. 13.Assist the patient to defecate. 14.If a specimen of feces is required, ask the client to use bedpan or commode

15. 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