I. Purpose

1. Promote intestinal peristalsis, relieve constipation and relieve abdominal distension.

2. Clean the intestines to prepare for examination or surgery.

3. Remove harmful substances from intestinal tract and reduce poisoning.

II. Assessment and preparation

1. Evaluate the children's health and understand the abdominal distension and excretion.

2. The temperature of enema should be 39 ~ 41℃ during the preparation of articles.

Third, matters needing attention

1. The bottom of the enema tube is 30 ~ 40 cm away from the plane of the child's buttocks.

2. Assist the child to take off his pants, lie on his back on the pillow, bend his knees, restrain and fix the child, protect his privacy, keep warm and avoid catching cold.

3. Slowly insert the anal canal into the anus, with the insertion depth of 2.5 ~ 4 cm for infants and 5 ~ 2.5～4cm for infants.

4. Infants need to use isotonic enema, and the amount of enema depends on the doctor's advice, generally less than 6 months is about 50ml； each time; 6 months ~1year is about every time100 ml; 1~ 2 years old is about 200ml； each time; 2 ~ 3 years old is about 300ml each time.

5. Choose an anal canal with appropriate thickness, and the movement should be gentle. If the solution injection or discharge is blocked, it can help the child to change the position or adjust the depth of anal canal insertion. When the discharge is not smooth, it can massage the abdomen to promote discharge.

6. During and after enema, you should pay attention to the condition. If you find pale face, abnormal crying, abdominal distension or bloody discharge, you should immediately stop enema and contact your doctor.

7. Accurately measure the injection quantity and the discharge quantity, so that the inflow and outflow quantity are basically equal or the discharge quantity is greater than the injection quantity.