Introduction of a liquid solution into the colon through a digestive ostomy.
Objective:
To facilitate the evacuation of stool and gas through the digestive ostomy.
Equipment:
– Trough. – Towel. – Scissors.
Material:
– Solution to irrigate. – Non sterile gloves. – Gauze. – Lubricant. – Physiological saline solution. – Irrigation and support system. – Ostomy drainage device. – Soaker. – Waste bag. – Neutral soap. – Nursing records
Procedure:
– Perform hand washing. – Prepare the material. – Preserve the patient’s privacy. – Inform the patient of the procedure to be performed. – Request the collaboration of the patient and family. – Place the patient in semi-fowler position. – Put on non-sterile gloves. – Place irrigation system at the patient’s shoulder. – Remove digestive ostomy bag and perform stoma hygiene. – Introduce a lubricated enema system through the stoma, dilating previously with the finger if necessary. Introduce no more than 10 cm. – Administer the enema slowly. If colicky pain appears, stop. – Remove the system and place the patient in supine position. – Clean stoma and skin, place digestive ostomy bag.
– Collect the material. – Put the patient in a comfortable position. – Remove gloves. – Wash hands. – Record in the nursing documentation: procedure, reason, date and time, incidences and patient’s response.
Observations:
The solution to be irrigated should be at a temperature of 37º C and the maximum amount to be irrigated should be 500 c.c.
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