UTLRAMODERN ATI MED SURG
ENEMA ADMINISTRATION
GASTROINTESTINAL EXAM 2025
High Cleansing Enema - ✔✔✔ANSWER--clean as much of the colon as
possible
-client changes from a left lateral position to the dorsal recumbent
position to the right lateral position to cover all surfaces
-the higher the solution container is held above the rectum, the faster
the flow and greater the force
-container height ranges from 30-49 cm or 12-18 inches above the
rectum
-45 cm or 18 inches preferred: height determined for greatest degree to
stimulate peristalsis
-stimulates peristalsis
-used as an intervention for constipation
-used as a bowel prep prior to diagnostic procedure if everything else
hasn't worked
,-when administering, make sure to clamp off tube with your hand, then
open clamp on tube and regulate amount entering rectum with hand
-be sure to lubricate end of enema
Hypertonic Enema - ✔✔✔ANSWER--Example: Fleet Enema
-Action: osmotic effect
-Time of effect: 5-10 min
-Volume of amount: 90-120 mL
-Adverse Effects: Na retention
Hypotonic Enema - ✔✔✔ANSWER--Example: Tap water enema
-Action: distends colon, stimulates peristalsis, softens feces
, -Time of effect: 15-20 min
-Volume of amount: 500-1000 mL
-Adverse Effects: fluid and electrolyte imbalance, water intoxication
Isotonic Enema - ✔✔✔ANSWER--Example: NS
-Action: distends colon, stimulates peristalsis, softens feces
-Time of effect-15-20 min
-Volume of amount: 500-1000 mL
-Adverse Effects: Na retention
Low Cleansing Enema - ✔✔✔ANSWER--clean the RECTUM and SIGMOID
ENEMA ADMINISTRATION
GASTROINTESTINAL EXAM 2025
High Cleansing Enema - ✔✔✔ANSWER--clean as much of the colon as
possible
-client changes from a left lateral position to the dorsal recumbent
position to the right lateral position to cover all surfaces
-the higher the solution container is held above the rectum, the faster
the flow and greater the force
-container height ranges from 30-49 cm or 12-18 inches above the
rectum
-45 cm or 18 inches preferred: height determined for greatest degree to
stimulate peristalsis
-stimulates peristalsis
-used as an intervention for constipation
-used as a bowel prep prior to diagnostic procedure if everything else
hasn't worked
,-when administering, make sure to clamp off tube with your hand, then
open clamp on tube and regulate amount entering rectum with hand
-be sure to lubricate end of enema
Hypertonic Enema - ✔✔✔ANSWER--Example: Fleet Enema
-Action: osmotic effect
-Time of effect: 5-10 min
-Volume of amount: 90-120 mL
-Adverse Effects: Na retention
Hypotonic Enema - ✔✔✔ANSWER--Example: Tap water enema
-Action: distends colon, stimulates peristalsis, softens feces
, -Time of effect: 15-20 min
-Volume of amount: 500-1000 mL
-Adverse Effects: fluid and electrolyte imbalance, water intoxication
Isotonic Enema - ✔✔✔ANSWER--Example: NS
-Action: distends colon, stimulates peristalsis, softens feces
-Time of effect-15-20 min
-Volume of amount: 500-1000 mL
-Adverse Effects: Na retention
Low Cleansing Enema - ✔✔✔ANSWER--clean the RECTUM and SIGMOID
