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Two of my summer classes are Gerontology and GI. The Gero instructor said that saline enemas are not recommended because they cause fluid imbalance. The GI instructor said that saline enemas were recommended because they are isotonic and the least irritating.  It's confusing. 

For NCLEX, which would be correct? 

Comments

lms1185
Jul. 15th, 2012 03:59 am (UTC)
I would say that the GI instructor would be the most correct. A saline laxative would be a Fleet enema. All enemas could cause fluid imbalance because they cause one to lose fluid through stools. As far as enemas go, a Fleet enema is a small volume one and is less effective than a soap suds enema. Compared to a soap suds, a Fleet enema would be less irritating. Also, with the soap suds enema, a patient would be at greater risk of fluid imbalance because it's a higher volume enema and produces great results because it's able to go up higher in the intestines. In my experience, with the elderly population usually a suppository would be given first. So, I'd hate to say that the gero instructor is wrong. While saline enemas may not be recommended for elderly patients, they would be preferred over other types of enemas.

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