Administration of an Enema

Prepared by: Salwa Maghrabi

Outlines

• Definition of Enema.• Purposes of enema.• Assessment for clients before

administering of enema.• The procedure :– Equipments.– The implementations.– Documentations

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.

Definition of Enema

• an injection of a liquid through the anus to stimulate evacuation; sometimes used for diagnostic purposes

Assessment

1. Last bowel movement, amount , color and consistency of feces.

2. Presence of abdominal distension.3. Use toilet or commode ormust remain in bed anduse a bedpan.4. Has sphincter control.

Equipments

Cont’ Equipment

Large –Volume Enema Small- Volume Enema

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.

Implementation

Performance1. Introduce your self2. 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.

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.

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.

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.

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

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