What are the dangers of enema for children with fever?

If many children have a severe fever, they can only take enema treatment measures, but this treatment method is still relatively harmful to the child's body, especially their gastrointestinal tract damage is quite a lot, so you still have to observe your baby's reaction before deciding whether to give your baby an enema. Generally speaking, it is not recommended to give your baby an enema treatment measure.

1. Large-volume non-retention enema method

(1) Master the temperature, concentration, flow rate, pressure and liquid volume of the enema solution. When giving enema to patients with typhoid fever, the solution should not exceed 500 ml and the pressure should be low (the liquid level should not be more than 30 cm from the anus).

(2) For cooling enema, you can use 28-32℃ isotonic saline, or 4℃ isotonic saline, which should be retained for 30 minutes before being discharged. Measure the body temperature and record it half an hour after defecation.

(3) Pay attention to the patient's reaction during the enema process. If necessary, stop the enema immediately and take appropriate measures.

2. Precautions for retention enema

(1) Before enema, the location of the lesion should be understood so as to select the appropriate supine position and the depth of insertion into the anal canal.

(2) To improve the efficacy, the patient should be asked to defecate before enema and to follow the operating principles of "thin, deep, small, slow, warm and quiet", that is, the anal canal should be thin, the insertion should be deep, the amount of liquid should be small, the flow rate should be slow, the temperature should be appropriate, and the patient should lie still after enema.

(3) Children are usually in the breastfeeding position during enema, which makes it easier for nursing staff to perform the operation;

(4) After the enema is completed, parents should clamp the child's buttocks and lift them about 10 cm to allow the infused liquid to be retained longer and more conducive to full absorption by the intestinal mucosa;

(5) After the drug is injected, a quiet place should be chosen for the child to sleep. Parents of children who live far from the hospital are especially reminded not to let their children sleep on the way, so as not to reduce the children's sensitivity to the medicine, reduce the sedative and hypnotic effects of the medicine, and cause inconvenience to the examination.

Retention Enema

(1) For patients with intestinal diseases, it is advisable to perform enema before going to bed at night. The buttocks should be raised 10 cm during enema to facilitate the retention of the drug solution. The lying position depends on the location of the lesion. For example, chronic dysentery often lesions occur in the sigmoid colon and rectum, so the left side lying position is appropriate. Amoebic dysentery often lesions occur in the ileocecal region, so the right side lying position should be adopted to improve the treatment effect.

(2) Other operations are the same as those for small-volume non-retention enema, but the enema should be inserted deep into the anal canal, about 15 cm, and the solution flow rate should be slow and the pressure should be low (the liquid level should not exceed 30 cm from the anus) to facilitate the retention of the drug solution.

(3) After the tube is removed, gently massage the anus with toilet paper and ask the patient to keep it in place for more than 1 hour to facilitate drug absorption. Keep records.