BARIUM ENEMA

BARIUM ENEMA – Purpose, Types, Principle, Preliminary Assessment, Preparation of the Patient, Procedure, After Care and Complication

When barium is instilled rectally to visualize the lower GI tract, the procedure is called a barium enema

PURPOSE

  • To detect the presence of polyps, tumors, and other lesion of the large intestine
  • To demonstrate any abnormal anatomy or malfunction of the bowel
  • To detect diverticula, stenoses, obstructions, inflammation and ulcerative colitis
  • For the radiographic examination of the large intestine

TYPES

  • Barium sulfate (single-contrast technique) or barium sulfate
  • Air (double-contrast technique)

PRINCIPLE

  • Clear liquid diet for two days before the test
  • Procedure takes about 15-30 minutes during which time X-ray images are taken
  • If bowel is clear, clear images are obtained

PRELIMINARY ASSESSMENT

  • See the doctor’s order or prescription
  • See the patient’s condition
  • See the whether any allergic reaction is there for patient
  • See whether the patient can follow the orders
  • Check for all articles in the patient unit

PREPARATION OF THE PATIENT

  • Explain the procedure to the patient
  • Do colonic irrigation
  • Take the ultrasonography and colonoscopy
  • Check all the prescriptions of the patient

EQUIPMENT

  • Barium sulfate
  • Sterile water
  • Enema and tubings
  • Syringe with needle
  • A water-soluble iodinated contrast agent
  • Laxatives
  • Fluoroscopy screen
  • X-ray instruments
  • Warm water, air pump, pint measuring jar

PROCEDURE

  • Prepare the patient, equipment and seat the patient to the X-ray section
  • Barium is mixed with equal amount of water to the suspension used for barium meal
  • The enema is set and is allowed to sum slowly through the rectal tube while the radiologist examines the patient under the fluoroscopic screen
  • The mixture should be at body temperature and stirred continuously during administration
  • It should not be further given without instruction
  • Various X-rays are taken to diagnose the problem
  • Then, it is removed by cleansing enema or by a laxative

AFTER CARE

  • A laxative or cleansing enema is often given after the test to empty the large bowel
  • Stools are white for 24 to 72 hours after the examination
  • Encourage the client to increase the liquid intake to prevent fecal impaction
  • Instruct the client to report any pain, bloating, absence of stool or bleeding

COMPLICATION

  • Fecal impaction if the bowel is not cleaned immediately
  • Pain bleeding, etc can occur
BARIUM ENEMA – Purpose, Types, Principle, Preliminary Assessment, Preparation of the Patient, Procedure, After Care and Complication
BARIUM ENEMA – Purpose, Types, Principle, Preliminary Assessment, Preparation of the Patient, Procedure, After Care and Complication

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