>> So, this is our third and final delivery method of providing a saline high-volume enemas.
At this point, we're going to use a red rubber catheter. If you notice with this catheter,
it does not have a port for a balloon inflation. This size of this catheter is a 24 French.
That is actually going to be determined by your physician or nurse practitioner, but
you will use anywhere from a 24 to a 26 French red rubber catheter. The rest of your supplies
will remain the same. You'll need an enema bag. You'll need a connecting device, water
soluble lubricant, and a measuring tape.
So, one of the first things that we're going to do, we're going to measure the catheter
and mark it to give you an idea of how far to insert this red rubber catheter.
Now the difference between this catheter and the Foley catheter, one, we don't have a balloon so
we won't be retaining any fluids with the help of a balloon. In addition, we're actually
going to go farther inside of the colon than you would with a Foley catheter.
So, we want to measure and mark the distance that we're going to insert the catheter.
We'd like to measure at a point of 6 inches and mark it.
And again we're going to measure at 10 inches and mark it.
The maximum that you will insert the red rubber catheter is 10 inches.
You do not want to go beyond 10 inches. So now we're going to connect all of our supplies.
We're going to take the tubing from the enema bag, connect it to the red rubber catheter
by way of the connection device.
Simply insert the connection device into one end and the red rubber catheter into the other.
Make sure all your connections are secure.
You're then going to take your bag and get it ready to receive the fluids.
First thing you need to do? Make sure your slider claim is closed.
You'll need two hands to make sure that
the clamp is closed.
So, again, we're going to use the same amount that we've been using, which is 500 milliliters.
Again, based off of your physician or nurse practitioner's orders.
It's time to hang the bag, and we're now going to prime the fluids through the tubing.
You're going to need two hands.
You prime it by opening the slider clamp. It will prime through quickly.
And close the roller clamp. And now we have Johnny in position on his left side.
We're going to lubricate the tip of the catheter.
And we talked about how far we're going to go in. You want to take a look at your markings,
6 inches and 10 inches.
While Johnny is on his side, you're going to spread his buttocks
and insert the catheter. We talked about ease of insertion by placing the catheter inside
and inserting it in a twisting motion.
This is not a painful procedure. Johnny will feel the catheter, but he shouldn't be uncomfortable.
Once the catheter is in place, we're going to hold it in place with our hand and we're
going to open the slider clamp to infuse the enema.
While the fluids are infusing, massage Johnny's stomach. Again, you're going to need to hold
the catheter in place so that it doesn't migrate in and out of the rectum. Once all the fluid
has been removed from the bag, you're going to hold this catheter in place for a period
of 10 minutes. Once the catheter has been removed, you'll need Johnny to sit on the
toilet for a period of 30 to 45 minutes to fully evacuate his colon.
During that time, you can use that time to actually clean your supplies. You can rinse
out your bag and your catheter with warm soapy water and let it air dry.