PakDe BEBe Part 2: Prosedur Pemberian Gliserin pada Pemenuhan Kebutuhan Eliminasi Fekal

Summary

This instructional video demonstrates the procedure for administering glycerin suppositories to patients with constipation, specifically those unable to pass stool for several days. The process includes preparation of tools, patient positioning, and step-by-step guidance on inserting the suppository to ease bowel movements. The technique also addresses the need for cooperation from the patient and potential contraindications. The goal is to clear the colon for diagnostic procedures like abdominal ultrasounds while offering an alternative to oral laxatives. The video emphasizes the importance of safety, comfort, and patient understanding during the procedure.

Takeaways

• 😀 The procedure demonstrated is for administering glycerin as a treatment for constipation in patients who have not had a bowel movement for 3-4 days.
• 😀 Glycerin is used when there is a buildup of feces in the descending colon, especially on the lower left side.
• 😀 The direction of the food through the colon is important in understanding how to relieve constipation effectively.
• 😀 Massaging the baby's abdomen using 'I love you' movements can help expel trapped gas and aid in digestion.
• 😀 The main function of glycerin administration is to soften the stool and stimulate bowel movement.
• 😀 Glycerin can be used in conjunction with other laxatives to clean the digestive tract before procedures like abdominal ultrasound exams.
• 😀 The procedure requires the patient’s cooperation since it can be uncomfortable, especially when rectal digital manipulation is involved.
• 😀 Essential tools for the procedure include glycerin, wet tissues, medical waste bags, and a bedpan for patient comfort.
• 😀 The glycerin must be administered carefully, inserted 7-10 cm into the anus to ensure it passes the sphincter and stimulates the bowel.
• 😀 Patient positioning is key; the patient may be in a prone or lying position to facilitate the administration of glycerin.
• 😀 The procedure might require waiting for the patient to feel the urge to defecate after glycerin administration before moving forward with further steps.

Q & A

What is the primary indication for administering glycerin in this procedure?

The primary indication for administering glycerin is to relieve constipation in patients who have not been able to have a bowel movement for 3-4 days.

What is the role of the descending colon in the procedure?

The descending colon is crucial because it is where feces accumulate before being expelled from the body. It is important to ensure that the area is cleared of fecal matter to facilitate the passage of stool.

Why is it important to consider the position of the patient during this procedure?

The patient’s position is important to ensure that the glycerin can be properly administered and that the stool can be expelled with minimal resistance.

What is the function of massaging the abdomen using the 'ILOVEYOU' technique?

The 'ILOVEYOU' technique helps stimulate the expulsion of gas and stool by massaging the abdomen in a specific pattern, which can relieve discomfort and facilitate bowel movements.

Why should glycerin be administered cautiously in patients who need an abdominal ultrasound?

Glycerin is used to clear the intestines so that the abdominal ultrasound can clearly show the liver, kidneys, and other organs without obstruction from fecal matter.

What are the typical tools and materials prepared for this procedure?

The tools and materials include glycerin, wet wipes, medical gloves, a plastic waste bag, a bedpan, and a disposal kit. These ensure the procedure is performed hygienically and effectively.

How should the glycerin be administered to ensure effective results?

The glycerin should be inserted about 7-10 centimeters into the rectum, ensuring it passes the anal sphincter to relieve constipation and stimulate bowel movement.

What should the patient do when the glycerin is being administered?

The patient should take a deep breath and remain calm while the glycerin is being inserted to help reduce discomfort and allow for proper absorption.

What is the expected response from the patient after glycerin is administered?

After administration, the patient may feel the urge to defecate, but it is important to wait for a moment to ensure the glycerin works and to avoid any immediate discomfort.

What are the common contraindications to administering glycerin for constipation relief?

Glycerin should not be administered to patients with certain abdominal issues, such as severe gastrointestinal conditions or when a full abdominal examination, like an ultrasound, is needed.