There are some medications that despite years of use should be clearly abandoned in older individuals or those with advanced illness i. Colace is an excellent example of a medication that offers little benefit but also little harm in younger, healthier populations. However, in patients that are frail, hospitalized, or approaching the end of life, the risks begin to significantly outweigh any possible benefit.
Fleet enemas should also be relegated to this list of medications that should generally be avoided unless your patient is a very robust older adult.
We should also teach others that if you do happen to order a Fleet enema for a hospitalized or nursing home patient, you should never give a second dose in succession if the first trial fails. What enema do people usually recommend? I've usually used tap water or mineral oil; maybe bisacodyl in bad cases. You can use an enema that contains sorbitol and glycerin.
It comes in a squeezable ml bottles. Its commercial name is "easy-go" in our country. Or just use water enema. Dr Yaacov Ori. I care for my live-in 93 year old robust, healthy Grandmother. She has a severely impacted bowel that was missed by our GP August 3rd and now after repeated use of mineral oil and glycerine suppositories to no effect I was told to use Fleet Phospho-Soda.
My Doctor said, "Just give her a tablespoon every few hours until you get results". I have her 1. Now I read the info on your forum! She was manually relieved this morning, but has not done anything since. Is this Fleet stuff sitting in her system causing damage while we keep trying to get the mid-level impaction moved? Another doctor I sought a second opinion prescribed Docusate.
Haven't researched this one yet….. My grandmother is a vibrant member of our family. I do not want to lose her over something as simple as this! For outpatients, you can suggest Microlax sodium citrate with sorbitol and sodium lauryl sulfoacetate. Sodium citrate enemas are quite safe but not available at most hospitals as they are more expensive than sodium phosphate. Those who have regular constipation may use Psyllium husk. You can buy pure psyllium husk from many Indian or Bengali grocery stores.
Effective usage: for small meal eg. Increase husk if you need to make your bowel softer. Make sure to continue with every meal. Do not try to swallow husk dry, you may get suffocated. If you get tired of it: make drink mix with a glass of normal water, wait for about an hour. Add any flavor you like and sweetener, or milk. Steer well. Your email address will not be published. Sodium phosphates belong to a class of medications called laxatives. They work by drawing and retaining water into the colon to rapidly produce a bowel movement.
This medication is used as a laxative to provide relief for occasional constipation , or to cleanse the bowels in preparation for a number of procedures , such as a colonoscopy. You should experience a bowel movement within 2 to 5 minutes after administering the enema rectally. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here.
As well, some forms of this medication may not be used for all of the conditions discussed here. Your doctor may have suggested this medication for conditions other than those listed in these drug information articles.
If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor. Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it.
Each mL of solution contains monobasic sodium phosphate 16 g and dibasic sodium phosphate 6 g in single dose disposable unit. Nonmedicinal ingredient: sodium methylhydroxybenzoate. It comes in ready-to-use, hand size plastic squeeze bottles of mL, with a 5 cm prelubricated rectal tube and protective cap.
The usual dose of sodium phosphates for adults is mL administered rectally into the rectum as a single dose. The usual dose for children 2 to 12 years of age is 60 mL administered rectally as a single dose. To use the enema, lie on you left side with your knees bent and arms resting comfortably left-side position.
Alternatively, you can kneel and lower your head and chest forward until the left side of your face is resting with your left arm folded comfortably knee-chest position. Remove the protective cap from the prelubricated enema tip before using. Gently insert the tip into the rectum with a slight side-to-side movement, with the tip pointing towards the navel.
Do not force the enema tip into the rectum as this can cause injury. Slowly squeeze the bottle until nearly all the liquid in the bottle is gone. Then remove the tip from the rectum. Maintain your position until a strong urge to defecate is felt. Do not retain the enema solution for more than 10 minutes.
Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor. Store this medication at room temperature, protect it from light and moisture, and keep it out of the reach of children. Do not dispose of medications in wastewater e.
Ask your pharmacist how to dispose of medications that are no longer needed or have expired. Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses.
Side effects can be mild or severe, temporary or permanent. The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.
The following side effects have been reported by people taking this medication. Many of these side effects can be managed, and some may go away on their own over time. Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects. Stop taking the medication and seek immediate medical attention if any of the following occur:.
Some people may experience side effects other than those listed.
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