Bowel Management

Question 1

How do we manage bowel movement?

Answer 1

enemas and nutrition

Question 2

What are indicators for an enema?

Answer 2

prevent constipation
prior to colonoscopy, endoscopy, ultrasound
prevent faecal contamination during surgery
introduce contrast media, drugs or fluids

Question 3

Which pieces of equipment are required for an enema?

Answer 3

higginsons syringe
large kidney dish
lube
gloves
towels
incontinence pads

Question 4

What are the different types of enema solution?

Answer 4

water- 1-2mls/kg
liquid paraffin- 2-3mls/kg
saline- 1-2mls/kg
barium sulphate- 5-10mls/kg

Question 5

What are complications of enemas?

Answer 5

overdistension of colon
colon rupture
fluid leakage into peritoneal cavity- peritonitis
haemorrhage

Question 6

How do we care for enema patients?

Answer 6

GA recovery
temperature monitoring
low residue diet
monitor faecal output
oral liquid paraffin or lactulose
analgesia