NUR 324 Lecture Notes - Lecture 4: Castile Soap, Gastrointestinal Perforation, Bedpan
8 Sep 2016
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Objectives: upon successful completion of the clinical laboratory experiences, the student will be able to: verbalize the different types and purposes of enemas, demonstrate proper technique for enema administration and using the bedpan. An enema is the instillation of a solution into the rectum and sigmoid colon. The volume of fluid breaks up the fecal mass, stretches the rectal wall, and initiates the defecation reflex. Infants and children only receive normal saline due to their increased risk of fluid imbalance. Patient to be as close to the bathroom as possible bedside commode, etc. Want patient to hold onto the solution as long as possible. Tap water: hypotonic (exerts an osmotic pressure lower than fluid in the interstitial spaces, do not repeat tap water enemas because of risk of water toxicity. Normal saline: physiologically the safest form, volume infused stimulates peristalsis, only type of enema you can give to infants.
