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Rectal medication administration


Preparation and delivery of rectally prescribed medications and evaluation of patient response.

Objectives:

– Administer prescribed medication to the patient rectally for therapeutic purposes. – Educate the patient and family on the therapeutic regimen.

Equipment:

– Bathtub. – Towel. – Sheet. – See genital hygiene kit.

Material:

– Prescribed medication. – Medical treatment sheet of the prescribed medication. – Disposable gloves. – Non-sterile gauze. – Neutral soap. – Lubricant, compatible with the medication. – See genital hygiene material. – Nursing records.

Procedure:

– Perform hand washing. – Follow general rules in the administration of medication. – Determine the presence of constipation, diarrhea and the patient’s ability to retain suppository or enema.

– Place patient in Sims position. – Cover the patient with a sheet and leave the patient’s buttocks free. – Determine the patient’s medication knowledge and understanding of the method of administration. – Put on gloves. – Examine the anus and perform genital hygiene, if necessary. – Lubricate the suppository or cannula at the end. -Ask the patient to take several slow, deep breaths through the mouth. – Separate the buttocks with the non-dominant hand. – Gently insert the suppository or cannula through the anus while instructing the patient to take slow, deep breaths through the mouth. Insert 2.5 to 5 cm. – Instruct the patient to lie flat or on the side for about 5 minutes and to hold the medication for about 20 minutes. – Clean the anal area with gauze. – Leave the patient in a comfortable position. – Collect the material. – Remove gloves. – Wash hands. – Record: medication administered, dose, route, date and time, incidents and patient response.

Observations:

– Keep suppositories in the refrigerator. – Laxative enemas or suppositories should be administered before meals in order to avoid increased peristalsis. – If a suppository of a lower dose than the presentation is to be administered, cut the suppository longitudinally.

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