Self-Administering a Suppository

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Questions and Answers

Why is it important to administer a suppository with the tapered end going in first?

  • To prevent damage to the rectal lining during insertion.
  • To ensure the suppository is easily retrievable if it needs to be removed.
  • To control the rate at which the medication is released.
  • To aid in comfort and ease of insertion by following the natural contours of the rectum. (correct)

What does it signify if a suppository 'slips out' after insertion?

  • The suppository has completely dissolved and its contents have been absorbed.
  • The suppository is expired and needs to be replaced
  • The suppository is the wrong size and a larger one should be used.
  • The suppository was not inserted far enough past the anal sphincter. (correct)

Why should suppositories be stored in a cool, dry place and away from excessive heat?

  • To maintain the suppository's shape and prevent it from melting, which could affect its usability and dosage. (correct)
  • To prevent bacterial growth and contamination of the suppository.
  • To ensure the suppository doesn't become too hard, making it difficult to insert.
  • To enhance the suppository's effectiveness by preserving its active ingredients.

Why is it recommended to lay on your side with the bottom leg extended and the upper leg pushed towards your chest when self-administering a suppository?

<p>This position aligns the rectum for easier insertion and helps retain the suppository. (A)</p> Signup and view all the answers

What is the primary reason for lubricating the tip of an enema nozzle before self-administration?

<p>To facilitate smoother and more comfortable insertion, reducing the risk of injury. (A)</p> Signup and view all the answers

Why is it important to squeeze the enema solution slowly into the rectum?

<p>To minimize abdominal discomfort and cramping. (B)</p> Signup and view all the answers

After self-administering an enema, you experience the urge to go to the bathroom immediately. What is the recommended course of action?

<p>Try to hold the solution for 10-15 minutes to allow it to work, but ensure you have ready access to a toilet. (A)</p> Signup and view all the answers

If an enema does not work after an hour of using the entire enema solution, what is the next recommended step?

<p>Contact a healthcare provider or pharmacist for advice. (A)</p> Signup and view all the answers

Why is it important to ensure suppositories are firm to the touch before administration?

<p>To prevent the suppository from crumbling or melting during insertion. (D)</p> Signup and view all the answers

What is the purpose of bending your knees towards your chest when administering an enema?

<p>To aid in the flow of the enema solution into the colon by aligning the rectum. (C)</p> Signup and view all the answers

For what main purpose are glycerin suppositories primarily used?

<p>Relieving constipation (B)</p> Signup and view all the answers

What should you do to a suppository that is not firm?

<p>Refrigerate it for a few minutes (D)</p> Signup and view all the answers

How far should the enema tip be inserted?

<p>3 inches (A)</p> Signup and view all the answers

How long may glycerin suppositories take to work?

<p>15-30 minutes (A)</p> Signup and view all the answers

For self-administration, besides using a lubricant, what else can be used to lubricate the tip of the nozzle?

<p>Vaseline or non-medicated creams (A)</p> Signup and view all the answers

What is one of the positions to administer an enema?

<p>Lying on your back with knees toward chest (C)</p> Signup and view all the answers

Other than lying on your back with knees toward chest, what is another position to administer an enema?

<p>Putting one foot on the toilet (A)</p> Signup and view all the answers

How should a suppository be cut in half?

<p>Horizontally to its length (D)</p> Signup and view all the answers

What is the role of the anal sphincter in relation to suppository administration?

<p>It is a muscle that needs to be passed for effective administration. (B)</p> Signup and view all the answers

When should initial effects of glycerin suppositories be felt?

<p>About 5 minutes (D)</p> Signup and view all the answers

Flashcards

What is a suppository used for?

Self-administration, often using glycerin suppositories.

Suppository preparation

Firm to the touch; refrigerate briefly if too soft.

Suppository insertion position

Lay on your side with bottom leg extended and upper leg towards chest.

Suppository insertion technique

Insert the tapered end first to pass the anal sphincter.

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Anal Sphincter

Muscle that keeps the rectum closed.

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When do suppositories start working?

5 to 15 minutes, but can vary; glycerin suppositories may take 15-30 minutes.

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Suppository storage

Out of excessive heat, tightly closed, in a cool, dry place.

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What is an Enema?

Self-administered procedure.

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Purpose of lubricating the enema nozzle

To allow the enema solution to flow smoothly.

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Enema Warning

Urge will come immediately; hold for 10-15 minutes if possible.

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When does an enema start working?

1-5 minutes, but up to 10-15 minutes in some patients.

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What to do if enema doesn't work in 1 hour?

Contact your provider or pharmacist.

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Positions for enema administration

Lay on back with knees towards chest or alternate position (one foot on toilet).

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Squeezing enema solution too quickly

It may cause abdominal discomfort and cramping.

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Study Notes

Suppository (Self-Administration)

  • Glycerin suppositories are the main focus
  • Primarily used for constipation relief

Steps for Suppository Insertion

  • Begin by washing hands with soap and water
  • Ensure the suppository is in good condition
  • Check that the suppository is firm to the touch by squeezing it
  • If the suppository is not firm, refrigerate for a few minutes or rinse under cold water until it hardens
  • Lie on your side with the bottom leg extended and the upper leg pushed towards your chest or stomach
  • Administer the suppository with the tapered side going in first
  • Tapered end is the "punta del supp"
  • Dip the tip in cool water to ease administration
  • Push the suppository into the rectum
  • Hold the buttocks together
  • Stay lying down for a few minutes to allow the suppository to melt and start working

What if the Suppository Slips Out?

  • It means it was not pushed past the anal sphincter

Anal Sphincter

  • A muscle that keeps the rectum closed
  • Continue inserting the suppository until you get past the anal sphincter

Post-Insertion Instructions

  • Wash hands with soap and water after inserting the suppository

Expected Onset

  • Suppositories typically start working within 5 to 15 minutes, but it varies by product
  • Glycerin suppositories may take 15-30 minutes to work
  • Initial effects may be felt in about 5 minutes
  • Contact a prescriber or pharmacist if one hour passes without effect

Suppository Storage

  • Storage depends on the product
  • For glycerin suppositories: check the bottle
  • Store away from excessive heat and keep tightly closed in a cool, dry place

Where Not to Store

  • Avoid storing in the kitchen or bathroom

Cutting a Suppository

  • Cut it lengthwise

Enema (Self-Administration)

  • Wash hands before starting

Enema Administration Steps

  • Lie on your back with a towel underneath to catch spills
  • Bend knees towards chest and stomach
  • Remove the cap to reveal the nozzle
  • For self-administration, lubricate the nozzle with vaseline or non-medicated ointment/cream
  • Insert the tip 3 inches into the rectum
  • Slowly squeeze the solution into the rectum
  • Keep the solution inside for 5 minutes

Important Warning

  • An immediate urge to go to the bathroom will occur; try to hold the solution for 10-15 minutes
  • Ensure easy to the toilet in case an immediate need to use it

Expected Onset of Action

  • The urge to go to the bathroom should start between 1-5 minutes after administration
  • It may take up to 10-15 minutes for the enema to start working in some patients

What if it Doesn't Work?

  • If the enema does not work after one hour or the entire solution has been used, contact your healthcare provider or pharmacist

Positions for Enema Administration

  • Laid back with knees towards the chest and stomach
  • Alternate position: put one foot on the toilet, with the other on the ground

Important

  • Squeeze the solution slowly to prevent abdominal discomfort and cramping

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