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d. INTRAVENOUS SEDATION
Fasting is requires.
5. Fasting in EMERGENCY surgeries
Check with anesthesiologist for further steps to be carried
out.
If possible to delay the surgery, follow the fasting
guidelines
Prolong period without fluids should be avoided.
Maintenance fluid containing glucose should be started for
patient not receiving fluids for more than 6 hours.
6. Mechanical bower preparation in case of colorectal surgeries
a. Administration of enema/fleet
Verify doctors order
Prepare all the equipment you need
Check clients identity then explain the procedure and the
purpose. Ensure privacy is protected at all times.
Perform hand washing and done clean gloving
Position the client to left side lying and administer the
medications.
Instruct client to remain in positing until the urge to defecate
starts. Assist the client to the toilet.
Perform post-procedure care.
b. Oral solution for bowel preparations.
Verify doctors orders.
Prepare the solution. E.g. Fortran + 1 L of water.
Verify identification. Explain the bowel preparation.
Give instructions on when to take, intervals and the amount of
solution to be taken. Give the client an idea on what to expect
after taking the medications.