RL

• Foley Catheter Sizes


  Indwelling catheter sizes according to age: Male= F 14-16, Women – F 10-12, Pedia - F 6-10
• Enema


  Involves inserting liquid or gas into the rectum, the lower part of the large intestine, to empty the bowels, allow for an examination, or administer medication
• Types of Cleansing Enemas

  • Water
  • Saline
  • Epsom salt
  • Baking soda
  • Sodium phosphate
  • Apple cider vinegar
• Types of Retention Enemas

  • Coffee
  • Mineral oil
  • Probiotics
  • Barium
• Barium Enema


  A radiographic (X-ray) examination of the lower gastrointestinal (GI) tract where the large intestine, including the rectum, is made visible on X-ray film by filling the colon with a liquid suspension called barium sulfate (barium)
• Components of an Enema Kit

  • Bag or container (containing liquid or solution, oil or laxative)
  • Tube
  • Nozzle
• Types of Enema Solutions

  • Sodium phosphate (most common and fastest-acting)
  • Glycerin (pulls water into colon to soften stools)
  • Bisacodyl (stimulates colon to move)
  • Mineral oil (lubricates colon)
• Sodium Phosphate Enema


  A mix of water and salt (saline) that pulls water from the colon into the stool, making it easier to pass
• Risks of Using an Enema

  • Using too much liquid (body may hold some liquid in and release it without warning)
  • Stretching the bowel (increases chance of perforation)
  • Using liquid that is too hot or cold (can cause discomfort or pain)
• Use the recommended amount of room temperature liquid, and do not use an enema too frequently
• Enema Instructions


  1. Choose a quiet place with space to lie down

  2. Remove lower body clothing

  3. Wash hands

  4. Lie on left side if right-handed or right side if left-handed

  5. Bend top knee and place rolled towel underneath

  6. Remove cap from nozzle

  7. Gently insert nozzle 10 cm into rectum

  8. Slowly squeeze liquid from container until empty

  9. Gently remove nozzle

  10. Wait for enema to take effect (2 mins to 1 hour)

  11. Go to toilet to empty bowels
• Fleet Enema


  Contains monobasic sodium phosphate monohydrate and dibasic sodium phosphate heptahydrate, with 4.4 g of sodium per delivered dose
• An enema is an invasive procedure and should only be used for medical reasons, not as a regular treatment for constipation
• Frequent constipation can indicate a medical condition, so a doctor should be consulted
• People with compromised immune systems, rectal prolapse, hemorrhoids, or history of bowel obstruction or colon surgery should avoid using enemas
• The use of an enema before giving birth is no longer the standard recommendation