PROCEDURE : COLOSTOMY IRRIGATION

PURPOSE

Empty intestines for surgical or diagnostic assessment.

Relieve constipation.
Regulate bowel movement.

REQUIREMENT

1) Colostomy irrigation set with irrigation arm (like the TPN set).
2) Irrigating fluid : 500-1500 ml lukewarm water or other solution
prescribed.
3) Lubricant (KY jelly).
4) Drip stand.
5) Gallipot with swabs and water.
6) Receiver.
7) Disposable gloves.
8) Protective sheet.
9) Clinical waste.
10)Domestic waste.

STEPS

1. Greet pateint and explain procedure.

2. Provide privacy.
3. Position patient in Fowler’s. Turn patient’s body towards stoma.
4. Expose colostomy site.
5. Place protective sheet.
6. Fill irrigation bag with 500ml of prescribed solution.
7. Hang irrigation bag with the bottom of bag is approximately at
the level of patient’s shoulder and above stoma and expel air
from the set.
8. Wear disposable gloves and remove colostomy bag.
9. Cleanse stoma.
10.Fix irrigation arm with end of it pointing towards receiver
(oblique).
 11.Open upper end of irrigation arm.
12.Lubricate cone and insert into stoma not more 3”. Hold cone
gently but firmly against stoma to prevent backflow.
13.Allow fluid to enter colon slowly for 5-1o minutes (faster flow).
14.Retain fluid 5-10 seconds.
15.Remove cone gently.
16.Allow return irrigation fluid to drain out for 15-20 minutes.
17.Remove irrigation armwith counter traction.
18.Cleanse stoma.
19.Apply colostomy bag.
20.Remove disposable gloves.
21.Make patient comfortable.
22.Clear and clean equipments.
23.Record and report result.

NURSING RESPONSIBILITIES

1. Ensure procedure is carried out on correct client at correct site.

2. Reassure client to gain cooperation.
3. Perform procedure in a correct manner to pervent complications.
4. Monitor client for intra and poat procedure.
5. Ensure client’s comfort is maintained throughout procedure.
6. Record findings and report abnormalities.