2. WHAT IS WHOLE
BOWEL
IRRIGATION?
Medical process involving the rapid
administration of large volumes of
an osmotically balanced
polythelyen glycol solution (
Golytely,Colyte) ,either orally or via
nasogastric tube ,to flush out entire
gastrointestinal tract.
3. PURPOSE:
To prepare for diagnostic examination or before
certain surgery
To relieve inflammation
To stimulate peristalsis
To supply fluid and electrolyte those are absorbed
from intestine
To dilute and remove toxic agents
To reduce temperature in hyperpyrexia
To relieve fecal incontinence
To supply medications locally
To clean the colon of feces, gas and barium
To treat infection and other pathological
condition of colon
4. PREPARATION OF
THE PATIENT &
ENVIRONMENT
Explain the sequence of the procedure
Arrange the articles at the bed side
Provide privacy
Place the Mackintosh and towel under
the patient
Place the patient in left later position
Keep the bucket on a low stool or receive
the out flow of fluid
Remove the back rest and extra pillows
5.
6. EQUIPMENTS
Funnel and tubing with glass connection
Mackintosh and towel
Rectal tube placed in a kidney tray
Vaseline
Rag pieces in a container
Hot and cold water in jugs
Prescribed solution in jug
Paper bag
Bucket
Toilet tray if needed
Clean linen if needed
Bath thermometer
7. PROCEDURE
Wash hands thoroughly
Prepare the solution at the required temperature
Attach the tubing and check for any leakage
Lubricate the tip of the rectal tube about 4 inches
Separate patient's buttocks to visualize anus clearly
Insert tip of tube about 4 to 5 inches
ower funnel below level of rectum
Empty return flow into bucket
Fill funnel again. Pour 200 to 300 ml of fluid each time
Raise funnel and allow fluid to run continuously
Repeat this process, till return flow is clear
Remove the rectal tube by using rag pieces
8. GENERAL
INSTRUCTIONS:
A cleaning enema should be given one hour before the
colon irrigation
The bladder should be emptied before colonic
irrigations
The temperature of the solution is kept constant
throughout the procedure
Allow only 200 to 300 ml of fluid to run into the rectum
at a time
Make sure that the return flow is not blocked
Use a smooth and flexible rectal tube and lubricate it
well
Prevent air entry into the intestines
Stop the procedure temporarily the patient complaints
of pain
Listen to the complaints of the patient and should not
ignore any discomfort however small they may be
9. PRELIMINARY
ASSESSMENT
Doctors order for any specific
precautions
Diagnosis of the patient
General condition of the patient
Self-care ability of the patient
Mental status to follow instructions
Any contraindications
Need for any extra help
Articles available in the unit
10. INDICATIONS:
Substance will not bound by activated
charcoal.
Medications that are slowly released over 12
to 24 hours.
Massive ingestion with a significant delay.
Toxic solid object.
Presence of pharmochomabenzoars.
11. CONTRAINDICATION:
Rectal infection
Fistula in anus
Painful and bleeding hemorrhids
Painful skin lesions around the anus
Massive carcinoma or tumors of the
rectum
Loose sphincter
Polypus and diverticula of the intestine
