Week Nine Flashcards
Occult Blood
Hidden blood
Carminative Enema
given to expel flatus. Solution releases gas in rectum which causes distention and stimulates peristalsis
Retention Enema
Introduces oil or medication into the rectum and signmoid colon. Softens feces, lubricates feces and colonic mucosa to facilitate passage of feces.
Cleansing Enema
Removes feces using a variety of solutions
Enema Function
Remove feces and/or flatus
Enema
A solution introduced to the rectum and sigmoid colon
Fecal Impaction
A mass of hardened, puttylike feces in folds of rectum
Signs of Fecal Impaction
passage of liquid fecal seepage and no normal stool
Time it takes to see oil retention enema results
30minutes - 3 hours
Nursing Considerations for Enema
- Amount of fluid used
Soap Suds Enema
Cleansing soapy enema given to remove feces from colon. Relieves constipation and is a prep for diagnostic tests.
Action of Soap Suds Enema
Stimulates peristalsis by irritating mucosa and distending colon volume up to 1,000 mL H20 with soap
Oil Retention Enema
Retention enema that makes defecation easier. Mineral oil is commonly used.
What type of enema is a hypertonic enema?
cleansing enema
Hypertonic Enema
Cleansing sodium enema given to remove feces from the colon. Relieves constipation and preps for diagnostic tests.
Action of hypertonic enema
Draws water into the colon, distends the colon, irritates mucosa
Time it takes to see results from a hypertonic enema
5-10 minutes
Volume Hypertonic Enema
90-120 mL
What type of enema is a tap water enema?
Hypotonic cleansing enema
Carminative enema volume
180mL total
Volume oil retention enema
90-120mL
Tap water enema
Hypotonic Enema. After infusion into the colon, tap water escapes from the bowel lumen into interstitial spaces.
Volume tap water enema
500-1000mL
What type of enemas should be administered to an infant or child?
isotonic