So, now that we've administered our enema fluid,
how long can those even be retained?
So, that's going to vary on patient to patient.
It's also going to matter depending on the amount
of fluid you give to your patient.
So, some patients can't retain
this fluid for more than maybe
a few minutes.
They're going to feel some
cramping, some pressure.
They're going to feel all that
fluid and they're going to want to
evacuate their bowels.
Now, just think about this point the more volume
you give to your patient
the harder it's going to be
for them to retain the enema.
If it's a smaller amount, they
definitely may be able to hold on
to that enema for longer period of time.
Now, the average here again, it's hard to say,
it's going to vary patient to
patient and of course volume.
But 15 minutes is pretty
common and if you're talking
about a small amount of fluid, maybe even an hour.
So, during this time as you can imagine,
the patient needs some breathing
and some distraction techniques,
to help them retain the fluid as long as possible.
And again, hopefully that enema is productive,
So, they may need to evacuate
their bowels more than once,
so, keep those supplies nearby.
Now, after we get done,
we want to make sure we assist that
patient either to a bedside commode
or a bedpan for a patient.
So, I'll be honest with you a lot of the times,
there's so much pressure,
your patient may not be able
to get it to the bathroom.
So, have an alternative device,
such as your commode or your bedpan.
Now, once the patients evacuated the fluid,
this is a great time to assist
them in perineal care as needed,
then you can remove your gloves
and of course perform hand hygiene.
Before we leave the room, don't forget
to place the bed in the lowest position,
make sure the patient's comfortable,
clean, dry, perform hand hygiene
and document the procedure.
Now, with enema administration,
we need to ask the question,
how long are those enemas retained?
So, as you know some patients
are not able to retain that fluid
for very long, maybe just a few minutes.
And as you can imagine, especially
with the enema bucket administration,
you can imagine there's a lot of fluid going in
and there could be some pressure and some cramping
and obviously the patient's
going to want to have the urge,
to evacuate their bowels.
So, if this is the case and
you feel like your patient
can't retain a large volume enema.
Collaborate with your healthcare provider
and there's some other great options.
So, let's talk about a few of those.
So, here are some smaller volume options.
So, this one's about like a 133 ml about
4.5 ounces of sodium phosphate enema.
This is a very common in
administration and sometimes,
you can even find about this
volume over the counter.
Now, sometimes your patient may need
a smaller volume even from that.
We have these really tiny yet effective enema
administrations about this size.
This is about 7.5 ml here or about a
quarter of an ounce of liquid glycerin.
Now again, enemas are a
great option but sometimes,
we may need to pull something
else out and try another option.
Here, we have a medicated laxative suppository.
These can also be really effective
in producing a bowel movement.
Now, with enemas again, just remember
this can be a little bit uncomfortable
and you may need to give breathing
or distraction techniques,
for your patient to retain
the fluid as long as possible
Next, just know any time you're giving an enema,
the patient may need to evacuate
their bowels more than once.
So, keep a bedside commode or a bedpan nearby,
if that's the case we had
really successful results.
So again, after administration,
make sure the patient
had a bedside commode or bedpan ready.
Then once we've done that and
we've had a productive result,
make sure you provide
perineal care for your patient
and of course, remove your gloves and hand hygiene
and thank your patient,
thanks guys, for watching today.
Looking at some special considerations
regarding enema administration,
let's talk about a few of those.
So, cramping or discomfort is actually a pretty
common potential complication.
So, this makes a lot of sense,
but one easy way to maybe prevent this,
sometimes that enema fluid is
going in a little too fast,
we could slow this down and
communicate with your patient
to prevent this.
Now, because the influx of
fluids, sometimes the patient
can feel a little dizzy or faint.
So, we need to watch for this.
And again, communication
throughout the enema administration
will definitely help.
Let's talk about a couple
more points here before we go.
So, when we insert the enema tip in particular,
we can stimulate a vagus nerve and it
cause that heart rate to slow down.
So, you can imagine this can be concerning
and cause dizziness and faintness as well.
And lastly, we talked about this
about lubricating the catheter,
be careful about insertion,
we definitely can cause trauma to the GI mucosa.
So, we need to be cautious on
insertion and administration here.
Thanks for stopping by guys
and thanks for watching.