Page 70 - Demonstrating skill coppysaved colored-converted

N.B:
Occasionally, the rectal tube seems to meet with some resistance as it is being inserted.
In such instances, it is best to permit a small amount of solution to enter, withdraw the
rectal tube slightly and then continue to insert.
Sometimes the resistance may be due to kinking of the tubing.
It also may be due to spasms and the tube may be inserted safely to the distance.

4.12.2 Retention enema
Purpose
To supply the body with fluid
To give medication such as stimulants for absorption e.g. Paraldehyde as a sedative.
To soften impacted fecal matter.
Equipment
Same as a cleansing enema, except the tube for retention enema is smaller.
Procedure
A similar preparation is made, but the enema should be administered very slowly and
always be preceded by passing a flatus tube

N.B:
Most medicated-retention enema must be preceded by a cleansing enema and patient
should rest for ½ hour before giving retention enema
A small catheter is to be used instead of a rectal tube
If necessary, elevate the foot of the bed to help the patient retain the enema
Report and write on the report book; time of treatment, amount & kind of solution used,
Purpose, the reaction of the patient, length of time retained
Kinds of solution used to supply the body with fluid are plain water, normal saline, and
glucose 5%-15%, soda bicarbonate 2-5%
Olive oil 100-200cc to be retained for 6-8 hours is given for severe constipation. This
should be followed by a cleansing enema
N.B: You should not attempt to break up a fecal impaction before trying retention
enema
4.12.3 Rectal washout
Purpose
Repair the patient for x-ray examination & sigmoidoscopy
To prepare the patient for rectum & colon operation to clean the rectum from mucus,
blood, and debris before the rectal operation

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