This document outlines the administration of an enema, including: - Defining an enema as an injection of liquid through the anus to stimulate evacuation. - Assessing the patient by evaluating their last bowel movement, abdominal distension, and toileting ability. - The equipment needed includes an enema bag or bottle, tubing, and a rectal tube. - The procedure involves preparing the equipment, positioning the patient, lubricating and inserting the rectal tube, slowly administering the fluid, removing the tube, and encouraging the patient to defecate.

1. Administration of an
Enema
:Prepared by
Salwa Maghrabi

2. Outlines
• Definition of Enema.
• Purposes of enema.
• Assessment for clients before
administering of enema.
• The procedure :
– Equipments.
– The implementations.
– Documentations

3. Objectives
• Define the enema.
• Enumerate the purposes of using an
enema .
• Assess the patient conditions before
administering enema.
• Ability to administer enema for the patient.

4. Definition of Enema
• an injection of a liquid through the anus to
stimulate evacuation; sometimes used for
diagnostic purposes

6. Assessment
1. Last bowel movement, amount , color and
consistency of feces.
2. Presence of abdominal distension.
3. Use toilet or commode or
must remain in bed and
use a bedpan.
4. Has sphincter control.

7. Equipments

8. Cont’ Equipment
Large –Volume Enema
Small- Volume Enema

9. Implementation
Preparations
1.Lubricate about 5 cm of the rectal tube.
2.Run some solution through the connecting
tube of a large volume enema set and the
expel any air in the tubing.

10. Implementation
Performance
1. Introduce your self
2. Identify the patient identity.
3. Explain the procedure to the client.
4. Wash hand.
5. Provide patient privacy.
6. Assist adult patient to left lateral position with
the right leg acutely flexed as possible.

11. ’Implementation Cont
7. Put the disposable linen under the patient
buttocks.
8. Insert the enema tube.
• Left the upper buttock .
• Insert the tube smoothly and slowly into the
rectum, directing toward the umbilicus.
• Insert the tube 7 to 10 cm.
• Ask the client to take deep breath and run small
amount of solution through the tube.

12. ’Implementation Cont
• Never force tube or solution entry.
9. Slowly administer the enema solution.
• Raise the solution container and open clamp.
• Or compress a pliable container by hand.
• Hold or hang solution container no more
than 30 cm above the rectum.

13. ’Implementation Cont
• Administer the fluid slowly.
10.Close the clamp, and remove the enema tube
from the anus.
11.Place the enema in a disposable towel as you
withdraw it .
12.Encourage the patient to return the enema.
13.Ask the client to remain lying down.

14. ’Implementation Cont
12.Request that the patient return to the
solution for appropriate amount of time .
13.Assist the patient to defecate.
14.If a specimen of feces is required, ask the
client to use bedpan or commode

15. ’Implementation Cont
Documentation :
• 8/2/2010 10:00 am .states last BM few days
ago . Abdomen distended and firm. Bowel
sound hypoactive. Fleet’s enema given per
order resulting in large amount of firm brown
stool. States he feels better
M. Salwa,
RN