25. Large amounts of non-retention enema

(1) Enema solution? The dosage for adults is 500-1000ml each time; the solution temperature is generally 39-41°C, and 28-32°C is used for cooling. ℃, 4℃ for heatstroke

(2) The liquid level of the enema bucket is 40-60cm higher than the anus

(3) Insert 7-10cm into the rectum

(4 ) If the liquid level drops too slowly or stops, it is usually because the front hole of the anal canal is blocked. You can move the anal canal or squeeze the anal canal to make the feces blocking the hole fall off. If the patient feels abdominal distension or has the urge to defecate, he can instruct the patient to open his mouth and take a deep breath, relax his abdominal muscles, and lower the height of the enema tube to slow down the flow rate or pause for a moment

(5) Precautions

① Enema is contraindicated in patients with pregnancy, acute abdomen, severe cardiovascular disease, etc.

② When giving an enema to a patient with typhoid fever, the solution should not exceed 500ml and the pressure should be low (the liquid level should not exceed 30cm beyond the anus).

③For patients with hepatic coma, do not use soapy water for enema to reduce the production and absorption of ammonia.

④Enema with 0.9% sodium chloride solution is prohibited for patients with congestive heart failure and water and sodium retention.

⑤ During the enema process, you should always pay attention to the changes in the patient's condition. If you notice pulse speed, pale face, cold sweat, severe abdominal pain, palpitation and shortness of breath, you should stop the enema immediately and contact the doctor in time to take first aid. measure.

⑥The liquid should be retained for 30 minutes during the cooling enema. 30 minutes after defecation, the body temperature should be measured and recorded.

⑦If you have one bowel movement after taking an enema, it is 1/E. No stool after enema was scored as 0/E.