This document discusses the principles and guidelines for administering an enema. It covers anatomy, microbiology, chemistry, and physics considerations. It provides guidelines such as explaining the procedure to the patient, amounts of solution depending on factors like age, and governing the flow based on the height and size of tubes. The nursing responsibilities include checking orders, understanding different enema types, explaining the procedure, encouraging retention, and documenting results.

1. PRINCIPLES INVOLVED IN
ADMINISTERING ENEMA
Jayesh Patidar
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2. PRINCIPLES INVOLVED IN
ADMINISTERING ENEMA
 Anatomy and Physiology
- medical terms should be used to describe any
complaint, location of the pain and abnormalities of
appearances and functioning of the patients body
 Microbiology
- cleanliness of the patient's unit should be checked
before the patient is admitted; medical handwasing
 Chemistry
- characters of the bowel content is a result of
chemical reaction
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3. PRINCIPLES INVOLVED IN
ADMINISTERING ENEMA
 Physics
- solution to be administered should be
held at high position
 Psychology
 provide privacy by draping the patient
 explain the procedure to the before inserting the
tube in the rectum
 Time and Energy
- materials to be used must be prepared
before performing the procedure
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4. GUIDELINES IN
ADMINISTERING ENEMA

5. GUIDELINES IN
ADMINISTERING ENEMA
1. Nurse should explain:
 procedure
 precautions to take
 length of time necessary
2. The amount of solution to be
administered depends on the kind of
enema, the age of the person, and the
person’s ability to retain the solution.
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6. GUIDELINES IN
ADMINISTERING ENEMA
 The
following are
approximate
amounts:
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7. GUIDELINES IN
ADMINISTERING ENEMA
3. The force flow of the solution is governed by
the:
 height of the solution container
 the size of the tubing
 viscosity of the fluid
 resistance of the rectum
4. The higher the solution container is held
above the rectum, the faster the flow and
the greater the pressure in the rectum.
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8. GUIDELINES IN
ADMINISTERING ENEMA
5. The time it takes to administer an
enema largely depends on the amount
of fluid to be instilled and the clients
tolerance.
6. The enema for adults are usually given
at 40 to 43 C (105 to 110 F)
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9. NURSING
RESPONSIBILITIES

10. NURSING
RESPONSIBILITIES
 BEFORE:
- the nurse is to check the
physicians order
- the nurse must be familiar with
the
various kinds of enemas that
may be ordered, their
purpose and administration
- check patient’s ability to retain
fluid and tolerate the activity
ordered, their purpose and
administration
- determine the presence of
kidney or cardiac disease
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11. NURSING
RESPONSIBILITIES
 DURING:
- the nurse should explain the correct
procedure to the patient
- assist the adult client to a left lateral
position, with the leg as acutely flexed as
possible
- nurse must see to it that enema is
administered to the correct patient
- encourage the patient to retain fluid as
long as possible
- assist the patient to the bed pan
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13. NURSING
RESPONSIBILITIES
 AFTER:
- observe and evaluate results
- record in the patient’s chart the
type of enema administered, amount
of fluid instilled and the time it was
given
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14. THANK YOU