Setting a siphon enema
The setting of a siphon enema is carried out in order to most effectively free the intestines from feces, gases, decay and fermentation products. Siphon enema also helps in the diagnosis of intestinal obstruction.
Indications for the procedure:
- Lack of proper effect from setting a cleansing enema .
- Removal of toxins, fecal, mucous, purulent contents from the intestinal cavity.
- Conditions accompanied by excessive processes of fermentation and putrefaction in the intestines.
- Severe flatulence.
- Preparation for surgical intervention on the intestines.
- Suspicion of intestinal obstruction.
Contraindications for siphon enema
- Acute inflammatory bowel disease.
- Malignant neoplasms of the rectum.
- Intestinal and gastric bleeding.
- The first days of the postoperative period on the abdominal organs.
- Abdominal pain of unknown etiology.
Equipment
- Siphon enema system: 2 sterile rubber tubes 1.5 cm in diameter connected by a viewing glass tube.
- Funnel with a capacity of 1-1.5 liters.
- A bucket of 10-12 liters for collecting wash water.
- A bucket or jug for pouring water into a funnel.
- Lining oilcloth, diaper, screen.
- Boiled water in the amount of 10-12 liters.
- Kidney-shaped tray, spatula, sterile vaseline, gauze pads.
- Apron, gloves, mask.
- Disinfectant containers.
Siphon enema technique
- We establish a confidential trusting relationship with the patient, we ensure his isolation.
- We introduce the patient to the sequence of the procedure, explain its essence and necessity.
- We make sure there are no contraindications.
- We put a screen near the couch (if the procedure is carried out in the ward).
- We put on a dressing gown and an oilcloth apron, a mask and gloves.
- We lay the patient on his left side on a couch covered with a lined oilcloth and a diaper. The lining oilcloth should hang down into the basin for washing water. The legs must be bent at the knee joints and slightly brought to the stomach. During the procedure, if necessary, we cover the patient.
- We are preparing the system. We collect petroleum jelly with a spatula and lubricate the blind end of the tube by 30-40 cm.
- We spread the patient's buttocks with the thumb and forefinger of the left hand. With the right hand, carefully with rotational movements, we introduce the blind end of the tube to a depth of 30-40 cm.
- We lower the funnel to the level of the couch below the level of the patient's body. We hold the funnel somewhat obliquely and fill it with water to the brim.
- Slowly raise the funnel up so that the water leaves only to the mouth.
- We lower the funnel below the level of the patient's body, hold it in an inclined position, draining its contents into a bucket for washing water.
- Repeat bowel lavage until clean wash water.
- During the procedure, we monitor the patient's condition, we are interested in his well-being.
- Slowly remove the probe with a tissue.
- Immerse the used system and waste material into a container with a disinfectant solution.
- We carry out the toilet of the anus of the patient.
- We disinfect surfaces.
- We take off the apron, gloves, put them in a container with disinfectant.
- I wash my hands thoroughly.
As can be seen from the description of the manipulation, the production of a siphon enema requires certain knowledge and skills from the nurse, at least on a medical phantom.
