Rectal and vaginal

Question 1

How is the nozzle of the Cleet enema lubricated before insertion?

Answer 1

Already lubricated with white soft paraffin

Question 2

Two reasons why it is important to not refrigerate the enema?

Answer 2

To prevent the product from solidifying - stability

For patient comfort

Question 3

What should the patient expect after using the enema and what advice would you give them?

Answer 3

Frequent bowel movements - stay near a toilet
Drink clear fluids
Bowel movements should be within 5 mins of use - if not go to Dr

Question 4

What is the volume of the liquid held in the enema, how much will be inserted in to the rectum and why?

Answer 4

133ml volume of liquid held in enema

118ml inserted into the rectum as some residue remains

Question 5

What type of pessary is a Canesten pessary and how is it administered?

Answer 5

It is a pressed tablet and administered with an applicator

Question 6

What happens to the Canesten pessary when added to water and which excipient is causing this to happen and why is it important to the formulation?

Answer 6

The tablet starts to break down into smaller pieces. The excipient which causes this is the disintegrant (maize starch). It is important to allow the tablet to stabilise in fluid

Question 7

Can the Canesten pessary be used in pregnancy?

Answer 7

You can but the Dr should be informed. It is also recommended to use without the applicator to prevent harming the baby

Question 8

What is the function of hypromellose in the the pessary?

Answer 8

It forms a film on the surface of the tablet so it holds its shape