Gastrointestinal System Disorders Q 260 - Gyan Darpan : Learning Portal
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Monday 11 April 2022

Gastrointestinal System Disorders Q 260

Before bowel surgery, Lee is to administer enemas until clear. During administration, he complains of intestinal cramps. What do you do next?
    A. Discontinue the procedure.
    B. Lower the height of the enema container.
    C. Complete the procedure as quickly as possible.
    D. Continue administration of the enema as ordered without making any adjustments.

Correct Answer: B. Lower the height of the enema container.

Lowering the height decreases the amount of flow, allowing him to tolerate more fluid. Position the patient on the left side, lying with the knees drawn to the abdomen. This eases the passage and flow of fluid into the rectum. Gravity and the anatomical structure of the sigmoid colon also suggest that this will aid enema distribution and retention.

Option A: A person can expect that they may feel some discomfort due to an enema. Adverse effects, such as stomach cramping and anal irritation, should go away on their own. However, if any adverse effect is severe or persistent, see a doctor.
Option C: Enemas may also be used before medical examinations of the colon. The doctor may order an enema prior to an X-ray of the colon to detect polyps so that they can get a clearer picture. This procedure may also be done prior to a colonoscopy.
Option D: The risks for enema-related complications are greater if the patient administers the tubes multiple times a day. The best course of action is to use the enema once a day, and around the same time every day, as directed by a doctor. This not only reduces side effects but will also help to train the body to release waste regularly.

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