How to take an enema at home

Supplies

Treatment disk: enema tube, rubber tube, glass receiver, anal tube, hemostatic forceps, liquid paraffin, curved disk, handkerchiefs, thermometers, rubber cloths, and therapeutic towels. Enema liquid: commonly used saline, 0.1% - o.2% soapy water, adult fluid volume of 500-lO00ml each time, pediatric each 00-500ml, liquid temperature 39-41 ℃, 28-32 ℃ for cooling, heatstroke isotonic saline with 4 ℃. Another potty, enclosure screen, infusion stand.

Methods

1. Prepare the enema liquid according to the doctor's instructions, adjust the water temperature. After the preparation of the material to bring to the bedside, to explain to the patient, to obtain cooperation, and asked to urinate. The patient should be covered with a screen in a large ward.

2. Assist the patient to lie on the left side of the bed, knees flexed, exposing the buttocks, the rubber bandage and treatment towel pads under the buttocks. The first thing you need to do is to get your hands on a pair of shoes or boots that you can't afford to wear.

3. Lubricate the front of the anal canal, release a small amount of liquid to drive out the gas in the canal, and use your wrist to test the temperature to see if it's appropriate, and then close the canal.

4. The operator's left hand separated the patient's two buttocks, exposing the anus, asking the patient to open his mouth to breathe, and the right hand will gently rotate the anal tube into the anus, about 7-10 cm. If the insertion of a sense of resistance, the anal tube can be slightly withdrawn, and then advanced. The first thing you need to do is to make sure that you have a good idea of what you're getting yourself into, and that you have a good idea of what you're getting yourself into.

5. Observe the situation of liquid filling in the tube, if the filling is obstructed, shake the anal tube slightly, and check whether there is any fecal blockage at the same time. If the patient feels bloated or has the urge to poop, the enema tube should be lowered appropriately and instructed to open the mouth and take a deep breath to reduce the abdominal pressure.

6. When the liquid is finished flowing, clamp the rubber tube, gently pull out the anal tube wrapped in a handkerchief and put it into a curved tray, let the patient lie down, and ask to keep 5-lomin after defecation. Those who can not get out of bed should be given a potty, handkerchief.

7. After defecation, remove the bedpan, make up the bed, open the window for ventilation, and help the patient wash his hands. Observe the condition of the stool, and take a specimen for testing if necessary. Record the results in the stool column of the day's temperature sheet.

8. Wash and sterilize the enema.

Please note

1. When inserting the anal tube, you should be gentle, and be more careful with patients with anal diseases to avoid injury.

2. For some craniocerebral diseases. The first is that the first time you have to go to the hospital, you have to go to the hospital, you have to go to the hospital, you have to go to the hospital, you have to go to the hospital, you have to go to the hospital, you have to go to the hospital, you have to go to the hospital, you have to go to the hospital.

3. Hepatic coma patients are forbidden to use soap water enema, typhoid patients enema liquid surface shall not be higher than the anus 丨 door 30cm, the amount of liquid shall not exceed 500ml, and choose isotonic saline. The first thing you need to do is to get a good deal of money to pay for it.

Small amount of non-retained enema

Supplies

Treatment tray: the same large amount of non-retained enema, exempted from the Hong Kong intestinal cylinders, another funnel or 50ml syringe. Enema solution: prepared according to medical advice, commonly used "1, 2, 3" enema solution (50% magnesium sulfate 30m1, glycerol 60m1, water 90m1) or water and glycerol each 60-90m1, with another potty, screen.

Methods

1. Preparation was the same as that of massive unreserved enema.

2. Connect the syringe or funnel to the anal canal, pour or extract the solution, lubricate the anterior end of the canal, remove the air, clamp the canal and insert it into the anus 丨the door, and then relax the clamp so that the solution flows all the way in.

3. After irrigation, pinch the anal tube and remove it. Ask the patient to retain l0min after defecation.

Cleansing enema

Supplies

Same as massive unretained enema. Enema solution: 0.1% soapy water 500ml, saline 5-10L, liquid temperature 38-4l ℃.

Methods

1. The method is the same as that of large-volume unreserved enema.

2. First, 500ml of 0.1% soapy water was instilled to stimulate intestinal peristalsis, and the solution was discharged and then isotonic saline irrigation, repeated several times until the discharge of clean liquid without fecal sludge.

Note

1. For the elderly, frail patients enema, should closely observe the condition, and give assistance. The enema pressure should be low.

2. Each time a large number of clean enema, pay attention to observe and record the amount of irrigation and discharge should be basically consistent, to prevent water intoxication.

3. Clean enema patients should take the right side of the lying position, easy to enema liquid to reach the deep colon. After each enema, the patient is asked to try to retain the piece to, in order to soften the role of fecal flushing intestinal.

Retention enema

Supplies

Treatment disk: the same small amount of non-retention enema, the anal tube should be thin, the enema liquid according to the doctor's orders, the amount of liquid is generally not more than 200m1.

Methods

1. The patient was asked to defecate or give defecation enemas for 1 time.

2. Decide the lying position according to the condition, chronic bacillary dysentery should take the left side lying position, amoebic dysentery take the right side lying position.

3. The amount of liquid is more than 200 ml, the open infusion bottle slowly drip (i.e., rectal drip method). Dropping method should be used to elevate the buttocks about 20cm, to the catheter instead of the anal tube, inserted into the length of about 1.0-l 5cm or so, the drip rate is generally 60-70 drops / min, drops should pay attention to heat preservation.

4. After pulling out the tube, ask the patient to lie down, try to endure, do not solve out, retain more than lh.

Note

Intestinal disease patients in the evening before sleep irrigation is appropriate.