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Nursing ProcedureINSERTION OF A FLATUS TUBE

INSERTION OF A FLATUS TUBE

INSERTION OF A FLATUS TUBE

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Flatus tube or a rectal tube inserted into the rectum to relieve flatulence and gaseous distension of the abdomen

Passing of flatus tube is defined as an introduction of a tube into the rectum for expulsion of gas

Purpose

  • To remove flatulence from the lower bowel
  • To relieve abdominal distension
  • Used before giving a retention enema

General Instructions

  • Introduce the rectal tube into 4 to 6 inches
  • Rectal tube should not leave more than 30 minutes
  • Longer periods of insertion can lead to permanent sphincter damage
  • The tube can be re-inserted every 3 to 4 hours if necessary

Preliminary Assessment

Check

  • The doctors order for any specific precautions
  • Patients general condition
  • Diagnosis of the patient
  • Self-care ability of the patient
  • Mental status to follow instructions
  • Articles available in the unit

Preparation of the Patient and Environment

  • Explain the sequence of the procedure
  • Provide privacy
  • Provide left lateral position
  • Arrange the articles at the bed side
  • Place the Mackintosh under the buttocks of the patients

Equipment

A clean tray containing:

  • Flatus tube in a kidney tray with water
  • Vaseline
  • Wet swabs in a bowl
  • Paper or Mackintosh or towel
  • Paper bag
  • Long artery forceps
  • Screen

Procedure

  • Wash hand thoroughly
  • Place the patient in left lateral position
  • Lubricate the flatus tube and insert 4 to 6 inches into the anal canal
  • The free end of the tube is kept in water in a kidney tray
  • Keep the tube in a place for 20 minutes
  • Presence of air bubbles in the water indicates that flatus is being expelled
  • Remove the tube and place it in the K-basin

After Care

  • Clean and area with wet cotton swabs
  • Position the patient comfortably
  • Replace the article after cleaning
  • Wash hand thoroughly
  • Record the procedures and findings in the nurses record sheet
INSERTION OF A FLATUS TUBE - Purpose, Instructions, Preliminary Assessment, Preparation of patient and environment, Equipment, Procedure, After care
INSERTION OF A FLATUS TUBE – Purpose, Instructions, Preliminary Assessment, Preparation of patient and environment, Equipment, Procedure, After care
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