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    Bowel Wash.

    Uploaded by

    Sathya
    A bowel wash, or colonic lavage, involves washing out the colon with large volumes of solution to clear out feces. It is used to prepare the colon for surgical or diagnostic procedures, dilute and remove toxic agents, reduce fever, supply fluids and electrolytes, stimulate peristalsis, and relieve inflammation. Contraindications include various medical conditions like bleeding hemorrhoids or intestinal obstruction. Solutions used include water, saline, antiseptics, and others. The procedure involves inserting a rectal tube, pouring in the warmed solution, and draining it out until the return flow is clear, using about 2-3 liters of fluid. Precautions are taken to ensure patient comfort and cleanliness

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Bowel Wash.

    Uploaded by

    Sathya
    5K views12 pages
    A bowel wash, or colonic lavage, involves washing out the colon with large volumes of solution to clear out feces. It is used to prepare the colon for surgical or diagnostic procedures, dilute and remove toxic agents, reduce fever, supply fluids and electrolytes, stimulate peristalsis, and relieve inflammation. Contraindications include various medical conditions like bleeding hemorrhoids or intestinal obstruction. Solutions used include water, saline, antiseptics, and others. The procedure involves inserting a rectal tube, pouring in the warmed solution, and draining it out until the return flow is clear, using about 2-3 liters of fluid. Precautions are taken to ensure patient comfort and cleanliness

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    Procedure of bowel wash

    Original Title

    Bowel wash.

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    A bowel wash, or colonic lavage, involves washing out the colon with large volumes of solution to clear out feces. It is used to prepare the colon for surgical or diagnostic procedures, dilute and remove toxic agents, reduce fever, supply fluids and electrolytes, stimulate peristalsis, and relieve inflammation. Contraindications include various medical conditions like bleeding hemorrhoids or intestinal obstruction. Solutions used include water, saline, antiseptics, and others. The procedure involves inserting a rectal tube, pouring in the warmed solution, and draining it out until the return flow is clear, using about 2-3 liters of fluid. Precautions are taken to ensure patient comfort and cleanliness

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    5K views12 pages

    Bowel Wash.

    Uploaded by

    Sathya
    A bowel wash, or colonic lavage, involves washing out the colon with large volumes of solution to clear out feces. It is used to prepare the colon for surgical or diagnostic procedures, dilute and remove toxic agents, reduce fever, supply fluids and electrolytes, stimulate peristalsis, and relieve inflammation. Contraindications include various medical conditions like bleeding hemorrhoids or intestinal obstruction. Solutions used include water, saline, antiseptics, and others. The procedure involves inserting a rectal tube, pouring in the warmed solution, and draining it out until the return flow is clear, using about 2-3 liters of fluid. Precautions are taken to ensure patient comfort and cleanliness

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 12

    Bowel wash

    Definition
     Washing out of colon with large quantities of
    solution, to clear colon of faeces.
    Purposes
     To prepare colon for specific surgical or
    diagnostic procedures
     To dilute and remove toxic agents that may be
    present in large intestine
     To reduce temperature in hyperpyrexia and heat
    stroke
     To supply fluid and electrolytes that are absorbed
    from intestine
     To stimulate peristalsis
     To relieve inflammation
     To keep the individual clean in case of fecal
    incontinence
    Contraindications
     Bleeding hemorrhoids
     Chronic diarrhoea
     Rectal surgeries, infection
     Intestinal obstruction
     Rectal polyps
     Massive colon carcinoma
     Loose anal sphincter
     Debilitation
     Anal fistula
     Intestinal diverticulum
     Painful skin lesions around anus
    Solutions used
     Plain water
     Cold water
     NS,NaCo3 solution 1-2%
     Antiseptic solution,
     silver nitrate 1:5000
     KMNO4 1:5000
     Thymol 1:100
     Alum 1:100
     Boric solution 1-2%
     Tannic acid 1:100
     Amount of solution used 2-3 liters or till he return flow is clear.
    Temperature solution
     For cleansing purpose 104 F
     For reducing temperature 80-90 F
    Articles
     Tray containing  Jugs with hot & cold
     Colonic lavage set with water
    tubing & glass  Kidney tray
    connection  Bucket
     Rectal tube  Solutions
     Adult :22-30 Fr  Bedpan with lid
     Children :12-18 Fr
     Duster /towel
     Vaseline  Perineal toilet tray
     Rag pieces/tissue  Clean disposable
    papers gloves
     Mackintosh
     Plastic apron
    Procedure
     Check the patients chart for physician’s order and any
    specific instructions
     Explain to the patient about procedure and how he
    has to co-operate
     Wash hands and don gloves
     Prepare solution at required temperature
     Attach the tubing and the rectal tube with funnel. Pour
    the solution in it and check for leakage .
     Lubricate the tip of rectal tube with the funnel
     Fill the funnel with the solution and expel the air from
    the tubing by allowing a small amount of fluid into the
    kidney tray. Pinch tube or close it with clamp
    Procedure
     Maintain the patient left lateral position & bring
    close to the edge of bed. Separate the patient’s
    buttock’s to visualize the anus clearly and insert
    the tip of tube about 4 inches while the patient
    exhales a deep breath.
     Lower the funnel below the level of rectum to
    allow flatus to get escape from rectum.
     Raise the funnel and allow the fluid to run in,
    continue to pour more fluid into funnel before the
    funnel is empty.
     When 200-300 ml of fluid has gone inside, pinch
    the tube before the funnel is completely empty
    and invert it into the bucket and siphon off the
    fluid
    Procedure
     When return flow ceases, turn the funnel upright
    & pour more solution, lower the funnel until air
    from the tube has been expelled . Then raise the
    funnel & repeat the procedure.
     Temporarily stop the procedure if the patient
    develops any discomfort
     Continue the procedure until all the fluid ordered
    has been given or until the return flow it clear.
     Gently remove the rectal tube by pulling it through
    3-4 layers of rag pieces /tissue papers
    Procedure
     Discard the tissue papers in the paper bag. Place
    the funnel with tubing in the kidney tray.
     Assist patient to the toilet, commode or bed pan
     Bring the toilet tray & assist for perineal care
     Change the bed linen if soiled, give comfortable
    position
     Take articles to utility room disinfect funnel,
    tubing, catheter & bucket. Clean, dry &replace.
     Remove gloves &wash hands
     Record the type of procedure & the result with
    date & time in nurses record .
    Thank you

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