Specialized care for anorectal diseases

  Rectal drip care: 1. Pay attention to protect the patient’s privacy and cover it with a screen. Avoid exposing the patient too much and prevent from getting cold.  2.The room temperature should be kept at about 20-26°C, and the temperature of the enema solution should be about 38-40°C.  3.The distance of the liquid surface from the anus is about 30cm, and the drip rate of the medicine should be slow (60-70 drops/min) 4.Observe the changes of the patient’s condition during the operation, ask the patient’s feeling frequently, and stop the enema immediately if abdominal pain, dizziness, sweating, etc. occur.  5.After the drops, let the patient knee-chest position for about 20 minutes to make the drug act more fully, and then change to supine position.  (B) Care of herbal sitz bath 1. Pay attention to protect the patient’s privacy and cover it with a screen.  2.Disinfect the sitz bath tub, place it on the sitz chair, pour in the sitz bath solution to 1/2 full of the tub, adjust the temperature to 43-46℃, 2~3 times/d, 20-30min/time, if the water temperature drops, hot water should be added to warm it up.  3. Ask the patient to sit in the basin and soak for 20-30 minutes after defecation, dry the buttocks, change the medicine according to the wound condition and organize the materials used. If using herbal sitz bath, it should be washed first and then smoked.  4, sitz bath process, pay attention to observe the changes in the patient’s condition, such as abdominal pain, dizziness, sweating, etc., should immediately stop sitz bath.  5, female patients with menstruation or vaginal bleeding, late pregnancy, acute inflammation of the pelvic organs period is contraindicated with sitz bath.  (C) the care of clean enema 1, check the medical advice and patients, pay attention to the operating environment hidden, room temperature appropriate.  2.Configure the enema solution, temperature 39-41℃, patient in left lateral position, buttock padding tarpaulin, knee flexion.  3.The distance between the liquid surface and the anus is 40-60cm, insert the anal tube slowly into the anus 7-10cm. repeatedly for several times for a large number of unreserved enemas, the first enema with soapy water, after defecation, then saline enema, until the discharge is clean and no fecal mass.  4, enema process, such as the patient’s pulse is found to be thin and fast, pale, abdominal pain, etc., should stop the enema and report to the doctor.  5, pregnancy, acute abdomen, gastrointestinal bleeding, serious heart disease and other patients should not enema; rectal, colon and anal surgery and fecal incontinence should not enema.