. A reference hand-book of gynecology for nurses . enema of salt solution beforethe first nutrient enema, and repeat before everythird feeding. Inject the nutrient enema high, at a temperatureof ioo° F.; give four to six ounces at a time, and THE RECTUM AND ITS DISEASES 139 repeat in six hours. Add a small quantity of pep-sin or pancreatin to each enema, to aid assimila-tion; if the rectum becomes irritable, add alsofive or ten drops of tincture of opium. The patientmust lie still for one hour after each enema. Stimulating- Enemata.—Black coffee, eightounces, or the following formula: Ammonium
. A reference hand-book of gynecology for nurses . enema of salt solution beforethe first nutrient enema, and repeat before everythird feeding. Inject the nutrient enema high, at a temperatureof ioo° F.; give four to six ounces at a time, and THE RECTUM AND ITS DISEASES 139 repeat in six hours. Add a small quantity of pep-sin or pancreatin to each enema, to aid assimila-tion; if the rectum becomes irritable, add alsofive or ten drops of tincture of opium. The patientmust lie still for one hour after each enema. Stimulating- Enemata.—Black coffee, eightounces, or the following formula: Ammonium carbonate 30 grains Whisky 1 ounce Salt solution 1 quart. Give at 105° F.; inject high and hold a pad againstthe rectum after giving the enema. If the sphinc-ter is relaxed, elevate the foot of the bed. RECTAL IRRIGATION Rectal irrigation is a valuable method of treatingcertain diseases of the rectum. The apparatus required consists of a funnel,rubber tubing, and rectal irrigator; the latter isa two-way tube of glass (Fig. 66) or metal, one. Fig. 66.—Glass rectal irrigator. branch of which is attached to the funnel andtubing; the other branch is free. Method of Irrigating the Rectum.—Arrangethe patient in the Sims position, as for an enema. Connect the funnel, tubing, and irrigating nozzle;pour the prescribed solution into the funnel untilit runs out through the irrigator; pinch the tubingand insert the irrigator in the rectum as you woulda rectal tube; release the tubing and continue to 140 GYNECOLOGY FOR NURSES pour the solution into the funnel. After distend-ing the rectum the solution will run out throughthe free branch of the irrigator; continue flushinguntil it runs out clear. If it is desired to leave some solution in therectum, stop the free end of the irrigator and with-draw it carefully while the funnel is full. Colonic Irrigation.—This procedure is carriedout in the same manner as rectal irrigation througha colon tube and funnel, by alternately raisingand
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