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Semester One - Nursing 111 > Week Nine > Flashcards

Flashcards in Week Nine Deck (173)
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1

Occult Blood

Hidden blood

2

Carminative Enema

given to expel flatus. Solution releases gas in rectum which causes distention and stimulates peristalsis

3

Retention Enema

Introduces oil or medication into the rectum and signmoid colon. Softens feces, lubricates feces and colonic mucosa to facilitate passage of feces.

4

Cleansing Enema

Removes feces using a variety of solutions

5

Enema Function

Remove feces and/or flatus

6

Enema

A solution introduced to the rectum and sigmoid colon

7

Fecal Impaction

A mass of hardened, puttylike feces in folds of rectum

8

Signs of Fecal Impaction

passage of liquid fecal seepage and no normal stool

9

Time it takes to see oil retention enema results

30minutes - 3 hours

10

Nursing Considerations for Enema

- Amount of fluid used

11

Soap Suds Enema

Cleansing soapy enema given to remove feces from colon. Relieves constipation and is a prep for diagnostic tests.

12

Action of Soap Suds Enema

Stimulates peristalsis by irritating mucosa and distending colon volume up to 1,000 mL H20 with soap

13

Oil Retention Enema

Retention enema that makes defecation easier. Mineral oil is commonly used.

14

What type of enema is a hypertonic enema?

cleansing enema

15

Hypertonic Enema

Cleansing sodium enema given to remove feces from the colon. Relieves constipation and preps for diagnostic tests.

16

Action of hypertonic enema

Draws water into the colon, distends the colon, irritates mucosa

17

Time it takes to see results from a hypertonic enema

5-10 minutes

18

Volume Hypertonic Enema

90-120 mL

19

What type of enema is a tap water enema?

Hypotonic cleansing enema

20

Carminative enema volume

180mL total

21

Volume oil retention enema

90-120mL

22

Tap water enema

Hypotonic Enema. After infusion into the colon, tap water escapes from the bowel lumen into interstitial spaces.

23

Volume tap water enema

500-1000mL

24

What type of enemas should be administered to an infant or child?

isotonic

25

Enema temperature for infant or child

100 F or 37.7 C unless otherwise ordered

26

True or False: Elders may fatigue easily when administering an enema

True

27

What position is appropriate for administering an enema in a small child?

Dorsal recumbent position

28

How far should the tube be inserted for enema administration in infants?

1-1.5 inch

29

How far should the tube be inserted for enema administration in children?

2-3 inches

30

True or False: Tap water enemas should be used with caution in the elderly

True.