Bowel Management Flashcards

1
Q

How do we manage bowel movement?

A

enemas and nutrition

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2
Q

What are indicators for an enema?

A

prevent constipation
prior to colonoscopy, endoscopy, ultrasound
prevent faecal contamination during surgery
introduce contrast media, drugs or fluids

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3
Q

Which pieces of equipment are required for an enema?

A
higginsons syringe
large kidney dish
lube
gloves
towels
incontinence pads
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4
Q

What are the different types of enema solution?

A

water- 1-2mls/kg
liquid paraffin- 2-3mls/kg
saline- 1-2mls/kg
barium sulphate- 5-10mls/kg

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5
Q

What are complications of enemas?

A

overdistension of colon
colon rupture
fluid leakage into peritoneal cavity- peritonitis
haemorrhage

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6
Q

How do we care for enema patients?

A
GA recovery
temperature monitoring
low residue diet
monitor faecal output
oral liquid paraffin or lactulose
analgesia
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