Obstetrics for NursesReed, Charles B. (Charles Bert)
Science
Obstetrics for Nurses
Reed, Charles B. (Charles Bert)
Maternity nursing
Nutrient enemas should be given every six hours, unless otherwise
ordered. It is necessary to cleanse the lower bowel with a saline or
soapsuds enema at least once a day. The cleansing enema should be given
one hour before the nutrient enema is to be given. The proper quantity
for the nutrient enema is four to six ounces for an adult, and one to
three ounces for a child. Nutrient enemas should be given slowly at very
low pressure, the level of the fluid in the can being not over eight to
ten inches above the level of the rectum. If the injected material is
thick, a piston syringe may be required. The patient should be placed
upon the left side with the hips well elevated and should be kept in
that position for fifteen to twenty minutes after the enema has been
given. The tube should be oiled and not be inserted more than three or
four inches. The temperature of the enema should be about 98 degrees. If
there is a strong tendency to evacuate the enema, pressure should be
made against the rectum with a pad.
The following nutrient enemas may be ordered by name.
=Glucose Enema.=—Glucose (dextrose, grape sugar) 1 ounce, normal salt
solution 5 ounces.
The glucose should first be dissolved in hot water. The amount of
glucose may be increased, upon order, if no irritation is produced.
=Pancreatinized Milk Enema.=—Add 1 tube of peptonizing powder, or 1 to 2
drams of “Pancreatic solution” to 1 pint of skimmed milk. Stir well and
place in a warm water bath for one-half hour. Add 1 dram of salt.
=Milk and Egg Enema.=—Thoroughly beat the whites of 2 eggs, add ⅓ dram
of salt, and 6 ounces of skimmed milk. Add one tube of peptonizing
powder, or 1 to 2 drams of “pancreatic solution,” stir well, and place
in a warm water bath for one-half hour.
=Milk, Egg, and Beef Juice Enema.=—Mix the beaten whites of 2 eggs, 2
ounces of fresh beef juice, 6 ounces of skimmed milk, and ⅓ dram of
salt. Add 1 tube of peptonizing powder, or 1 to 2 drams of “pancreatic
solution,” stir well, place in a warm water bath for one-half hour.
=Milk and Glucose Enema.=—Add 1 tube of peptonizing powder to 6 ounces
of skimmed milk, stir well, place in a warm water bath for one-half
hour. Add 3 drams of glucose and ⅓ dram of salt.
ELIMINATIVE ENEMAS
=Impaction Enema.—=
Castor oil or olive oil, 1 ounce.
Soapsuds (100° F.), 1 quart.
Mix as thoroughly as possible, add one dram of spirits of
turpentine beaten up with the yoke of one raw egg.
=S. S. and G. Enema.—=
Soapsuds, 1 quart.
Glycerine, 1 ounce.
=Asafœtida Enema.—=
Milk of asafœtida, 8 ounces.
Water, 8 ounces.
=1–2–3 Enema.—=
Magnesium sulphate, 1 ounce.
Glycerine, 2 ounces.
Water, 3 ounces.
=Milk and Molasses Enema.—=
Milk, ordinary cooking molasses in equal parts, possibly 8 ounces
of each. Heat, but do not boil.
=Turpentine Enema.—=
Soapsuds, 1 pint.
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