fleet enema instructions pdf
Fleet Enema⁚ An Overview
A fleet enema is primarily used to cleanse the bowel, employing a saline solution to draw water into the back passage. This process softens stool, making it easier to pass, and promoting a bowel movement. It is a reliable solution for relieving occasional constipation, working without pain.
What is a Fleet Enema?
A Fleet enema is a pre-packaged, ready-to-use solution designed for rectal administration to induce a bowel movement. It functions as a saline laxative, meaning it utilizes a salt-based solution to achieve its effect. The primary purpose of a fleet enema is to clear out the lower bowel, specifically the rectum and sigmoid colon. This is often necessary for medical procedures, such as colonoscopies, or to relieve constipation. The solution works by drawing water into the bowel from surrounding tissues; this softens the stool, making it easier to pass. It is a common over-the-counter product, readily available at most pharmacies, and is considered a safe and effective method of bowel preparation. Fleet enemas are designed for single use and come with an applicator tip for easy, though sometimes uncomfortable, insertion. It is not intended for repeated or long-term use, generally used only when needed.
How Does a Fleet Enema Work?
The mechanism of action of a Fleet enema relies on its hypertonic saline solution. This solution, composed of salt and water, has a higher concentration of solutes compared to the surrounding tissues in the bowel. When the solution is introduced into the rectum, a process called osmosis takes place. Osmosis is the movement of water across a semi-permeable membrane from an area of lower solute concentration to an area of higher solute concentration. In this case, water from the tissues surrounding the bowel is drawn into the bowel lumen, which contains the hypertonic solution. This influx of water softens and loosens the stool, increasing the volume of fluid in the rectum, which creates pressure that stimulates bowel movement. The softened stool and increased fluid volume then trigger the urge to defecate, effectively emptying the lower bowel. This process helps to quickly relieve constipation or cleanse the bowel before a procedure.
Preparing for a Fleet Enema
Proper preparation is crucial for a successful and safe experience. This involves understanding when to administer it before procedures, making necessary dietary changes, adjusting medications, and knowing where to purchase the enema.
When to Administer a Fleet Enema Before a Procedure
Administering a fleet enema before a medical procedure, like a colonoscopy or rectal surgery, is often necessary to ensure a clear view of the area. Typically, one enema is administered the evening before your procedure, usually around 9⁚00 PM. Some protocols may require two enemas, used back-to-back, about 90 minutes before leaving home for the procedure. It’s crucial to follow specific instructions provided by your healthcare provider, as timing may vary. The goal is to completely empty the bowel, allowing for an accurate examination. These instructions are often part of a broader preparation process that may involve a clear liquid diet. Always refer to the guidelines given by your doctor, as they may have specific timing requirements based on individual needs and the nature of the procedure. Timing is key to ensure effectiveness of the enema before the medical intervention takes place.
Dietary Restrictions Before Using a Fleet Enema
Prior to using a fleet enema, especially before a medical procedure, adhering to specific dietary restrictions is essential. Generally, a clear liquid diet is recommended, starting the day before your procedure. This diet includes items like water, mineral water, clear fruit juices without pulp, such as apple, white grape, or white cranberry juice, and clear carbonated and non-carbonated soft drinks. Avoid any foods or beverages with pulp, dairy, or red or purple coloring. It is also crucial to abstain from solid foods to ensure the bowel is as empty as possible. These restrictions help to maximize the effectiveness of the enema. Following these guidelines reduces the risk of complications during the procedure. Always follow the specific instructions provided by your healthcare provider regarding dietary guidelines.
Medication Adjustments Before Using a Fleet Enema
Before using a fleet enema, especially in preparation for a medical procedure, certain medication adjustments are often necessary. It’s crucial to discontinue certain medications, such as aspirin, blood thinners, ibuprofen, arthritis medication, or Plavix, typically seven days prior to the procedure. If you are taking Coumadin, it is often preferred to stop it five days prior to the surgery, and it is essential to consult your doctor for specific instructions regarding this medication. Patients on diabetic medications should also consult their doctor, especially those who are insulin-dependent, for guidelines regarding their medication on the day of the procedure. You can typically continue taking Tylenol. Always consult your healthcare provider for tailored guidance on medication adjustments before using a fleet enema.
Purchasing Fleet Enemas
Fleet enemas are readily available for purchase at most local pharmacies and grocery stores, typically over the counter without the need for a prescription. They often come in a box containing two disposable enemas, which is a standard quantity for many pre-procedure preparations. When purchasing, ensure you are getting the correct type, often labeled as a saline laxative enema. It’s important to check the expiration date on the box to ensure the product is still effective. Generally, they are not expensive, and you can find them in the laxative aisle of the store. Having the necessary amount on hand, usually two, as directed in the instructions is essential for proper preparation, especially before medical procedures.
Administering a Fleet Enema
Administering a fleet enema involves specific steps to ensure proper and effective use. This includes careful insertion, proper positioning, and post-enema procedures to maximize the benefit and minimize discomfort. Following instructions is essential.
Step-by-Step Instructions for Insertion
Before beginning, ensure you have the necessary supplies, including the fleet enema itself. Begin by carefully removing the orange protective shield from the enema’s comfort tip. With a steady hand and gentle pressure, slowly insert the lubricated enema tip into the rectum. Employ a slight side-to-side motion, directing the tip towards the navel to facilitate smooth entry. If the person receiving the enema bears down slightly, as if having a bowel movement, insertion will likely be easier. Once the tip is fully inserted, squeeze the bottle steadily until the liquid is administered. After administering the full dose, remove the tip carefully. It is essential to follow the instructions included with your specific enema product for safe and effective administration. It is important to be gentle throughout the process to minimize any discomfort and ensure the procedure is performed correctly.
Proper Positioning During Insertion
Selecting the correct position is crucial for successful and comfortable enema administration. Typically, the individual receiving the enema should lie on their left side with their knees bent toward their chest. This position, often called the Sims’ position, aids in the natural flow of the enema solution into the colon. Alternatively, one can lie on their back with knees bent and elevated. Maintaining a comfortable and relaxed posture can significantly reduce discomfort during insertion. Ensure the person is on a stable surface to prevent any sudden movements. The chosen position should allow easy access to the rectal area while promoting smooth solution flow. It’s also important to ensure the individual is relaxed and feels as comfortable as possible. Proper positioning will not only facilitate the enema process but also enhance its effectiveness. This step is important for a successful procedure.
Post-Enema Procedure
After the enema solution has been administered, it’s important to remain lying down for a few minutes, usually between 5 to 10 minutes, to allow the solution to work effectively. The individual should be encouraged to resist the urge to immediately evacuate. Once the urge to have a bowel movement becomes strong, they should go to the toilet. It is important to note that the bowel movement may occur quickly and possibly forcefully. After the bowel movement, it’s advisable to clean the anal area gently and thoroughly. If the individual experiences any discomfort or cramping, resting can be beneficial. Post-enema, it’s crucial to monitor the individual for any unusual symptoms. Hydration should be encouraged, as enemas can cause some fluid loss. If the bowel movement does not occur within a reasonable time, consult a healthcare provider. Proper post-enema procedure ensures comfort and safety.
Additional Information
Fleet enemas are generally safe when used as directed, but it’s crucial to be aware of potential side effects and interactions with medications. Always consult a healthcare professional before use if you have any concerns or medical conditions.
Side Effects of a Fleet Enema
While generally considered safe, fleet enemas can sometimes lead to certain side effects. These may include mild discomfort or cramping in the abdominal area following administration. Some individuals might experience bloating or a feeling of fullness, as the enema works to draw water into the bowel. It’s also possible to experience nausea or an urge to defecate shortly after the enema is administered. In rare cases, prolonged or excessive use of fleet enemas can cause electrolyte imbalances due to the absorption of salts, which can lead to more serious health issues. These imbalances can manifest as symptoms such as muscle weakness, irregular heartbeat, or confusion. It’s essential to adhere to the recommended dosage and frequency of use to minimize the risk of such complications. If you experience any severe or persistent side effects, it’s important to seek medical attention promptly. Remember, consulting with a healthcare professional can help determine if a fleet enema is appropriate for you and ensure its safe administration, considering your individual health condition and medical history.