Page 64 - Community pharmcy practice E-book 2025

01/11/2025, 22:08 Medication Errors & Constipation Management

Risks Associated with Phosphate Enemas

Hyperphosphataemia in patients who are unable to excrete phosphate
adequately
Rectal injury caused by the enema tip and the damage exacerbated by the
phosphate solution
Renal failure in patients with renal impairment and reduced renal clearance

Contraindications for Sodium Biphosphate and Sodium
Phosphate

Kidney disease
Congestive heart failure
Patients on a sodium restricted diet
Electrolyte imbalance
Should not be used in CHILDREN younger than 2 years old
FDA pregnancy category C
Dehydration

Enema Administration Guidelines

Position: Left lateral position
Massaging the abdomen
Use unchlorinated water at body temperature

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