Enema Administration / ATI Med Surg Gastrointestin
Enema Administration / ATI Med Surg Gastrointestin
Exam (elaborations)
Enema Administration / ATI Med Surg Gastrointestinal Detailed Answer Key
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Enema Administration / ATI Med Surg Gastrointestin
Institution
Enema Administration / ATI Med Surg Gastrointestin
Enema Administration / ATI Med Surg Gastrointestinal Detailed Answer Key
Action of Enema - ANSWER-distend the intestine and irritate the intestinal mucosa>increasing peristalsis>excretion of feces and gas
-pt may ℅ abdominal cramping d/t peristalsis being stimulated and urgency
Age Consi...
Enema Administration / ATI
Med Surg Gastrointestinal
Detailed Answer Key
Action of Enema - ✔✔✔ANSWER-distend the intestine and irritate the intestinal
mucosa>increasing peristalsis>excretion of feces and gas
-pt may ℅ abdominal cramping d/t peristalsis being stimulated and urgency
Age Considerations Enema Administration - ✔✔✔ANSWER--preferred position
for infants and children: dorsal recumbent
-isotonic/normal saline
, -in a child, insert the tube 5-7 cm or 2-3 inches
-in a infant, insert the tube only 2.5-3.75 cm or 1-1.5 inches
Age Considerations Volume Instillation - ✔✔✔ANSWER-<18 months: 50-200 mL
18 months to 5 y/o: 200-300 mL
5 to 12 years of age: 300-500 mL
12 years old and older: 500-1000 mL
Beware of Digital Manipulation (HOLD IF THESE ARE PRESENT) -
✔✔✔ANSWER--cardiac conditions
-reproductive surgery
-abdominal perianal repair
-rectal surgery
-colostomy
-genitourinary surgery
-receiving radioactive isotopes: seeds may come out
-rectal or vaginal bleeding
Carminative Enema - ✔✔✔ANSWER--expel gas
-distends the rectum stimulating peristalsis
-60-80 mL is instilled
Classification of Enemas - ✔✔✔ANSWER--cleansing: primarily to remove feces,
pre-op, dx
-carminative: primarily to remove gas
-retention: to introduce oil or medication in sigmoid colon
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