Enema Administration and procedure lecture
- 1. How to administer an Effective Enema Colorectal Center Pediatric Colorectal Surgery Children’s Hospital of Pittsburgh
- 2. Foley catheter 24 French Syringe 30 ml Lubricant Enema bag Saline solution Glycerin Soap Fleet ® Step 1 Before administering enema gather all supplies
- 3. Saline solution Warm “body temperature” Glycerin Soap Fleet ® Step 2 Prepare the enema solution as prescribed
- 4. Fill the enema bag with the prepared solution. Prime the tubing. Step 3 Fill the enema bag
- 5. Attach the 30 ml syringe (filled with air or water) to the balloon port. Attach the enema bag to the Foley. Prime Foley to completely fill with the solution. attach Step 4 Attach syringe and enema bag to Foley
- 6. Place the patient in a position depending on age. The goal is a comfortable position for both the child and parent. The positioning is also very important to utilize gravity for an effective enema. Under 2 years 2 – 6 years Older than 6 years Step 5 Position for an enema
- 7. Lubricate the Foley very well and insert 15 cm. This should be done gently and with care to avoid any discomfort during insertion. Step 6 Lubricate and insert Foley
- 8. Inflate the balloon with the filled syringe until all 30 ml of air or water is instilled. Step 7 Inflate the Balloon
- 9. Once the balloon is fully inflated, pull back on the Foley until you feel resistance in order to create a plug. Step 8 Pull back
- 10. Open the roller clamp to allow the enema contents to fill the rectum and left side of the colon. Step 9 Introduce the enema solution
- 11. Allow the enema to flow slowly into the rectum over 15 minutes Step 10 Give in 15 minutes
- 12. Deflate the balloon until all 30 ml of air or water is returned into the syringe. Step 11 Deflate the Balloon
- 13. Remove the Foley catheter gently Step 12 Remove Foley
- 14. Have child sit on the toilet for 30 minutes in order to empty completely. Step 13 30 minutes
- 15. Colorectal Center for Children at Children’s Hospital of Pittsburgh of UPMC colorectalcenter@chp.edu 412-692-5150 Questions