What is included in the preparation of a patient for rectomanoscopy?

From the Guidelines

For a siphon enema, 1-1.5 liters of liquid must be prepared. The error in gastric sounding equipment is the large intestinal tube, which should be a gastric tube instead. Fibrogastroduodenoscopy is contraindicated for a patient with gastric ulcer who has "coffee density" vomiting and hemodynamic instability. For a patient with nausea and vomiting after poor-quality food, gastric lavage should be assigned first. For an unconscious patient who took sleeping pills, tracheal intubation and gastric lavage is the appropriate first aid. For a 60-year-old patient with cardiovascular pathology and constipation, a hypertonic enema from 100 ml of 10% sodium chloride solution is preferred. For atonic intestinal impassibility, a siphon enema is necessary. The temperature for a cleansing enema should be 38-39°C. FGDS can be used for a patient with "coffee-thickness" vomiting for urgent indications, regardless of meal times. For a hypertonic enema for intestinal atony, 10% sodium chloride solution should be used. Planned gastroduodenoscopy is performed 6-8 hours after the last meal. Preparation for sigmoidoscopy must include giving cleansing enemas in the evening and morning. When conducting a cleansing enema, the tip is first inserted toward the umbilicus. For a siphon enema, the tip is inserted parallel to the spine. If a patient develops cough and cyanosis during gastric probe insertion, the probe should be removed immediately. For Zimnitsky test, 8 containers should be prepared. For a patient with anal itching, feces examination for helminth eggs should be assigned first. General urine test should be collected in the morning after waking up. Preparation for rectoromanoscopy includes all mentioned measures: two cleansing enemas the evening before, two cleansing enemas the morning of the study, and a diet 3-4 days before excluding fresh vegetables, fruits, black bread, and cabbage.

Some key points to consider:

• The amount of liquid for a siphon enema is crucial, and 1-1.5 liters is the recommended amount.
• For patients with gastric ulcers, fibrogastroduodenoscopy is contraindicated in cases of "coffee density" vomiting and hemodynamic instability.
• Gastric lavage is the first line of treatment for patients with nausea and vomiting after consuming poor-quality food.
• Tracheal intubation and gastric lavage are the appropriate first aid measures for an unconscious patient who has taken sleeping pills.
• A hypertonic enema with 10% sodium chloride solution is preferred for a 60-year-old patient with cardiovascular pathology and constipation.
• Siphon enema is necessary for atonic intestinal impassibility.
• The temperature for a cleansing enema should be 38-39°C.
• FGDS can be used for urgent indications, regardless of meal times, in patients with "coffee-thickness" vomiting.
• 10% sodium chloride solution should be used for a hypertonic enema in cases of intestinal atony.
• Planned gastroduodenoscopy is performed 6-8 hours after the last meal.
• Preparation for sigmoidoscopy must include giving cleansing enemas in the evening and morning.
• When conducting a cleansing enema, the tip is first inserted toward the umbilicus.
• For a siphon enema, the tip is inserted parallel to the spine.
• If a patient develops cough and cyanosis during gastric probe insertion, the probe should be removed immediately.
• For Zimnitsky test, 8 containers should be prepared.
• For a patient with anal itching, feces examination for helminth eggs should be assigned first.
• General urine test should be collected in the morning after waking up.
• Preparation for rectoromanoscopy includes all mentioned measures: two cleansing enemas the evening before, two cleansing enemas the morning of the study, and a diet 3-4 days before excluding fresh vegetables, fruits, black bread, and cabbage, as recommended by 1.

According to the latest guidelines, cleansing enemas should be given in the evening and morning before sigmoidoscopy, and a diet should be prescribed 3-4 days before, excluding fresh vegetables and fruits, as stated in 1.

In terms of bowel preparation, split-dose bowel preparation is recommended, and the selection of a bowel preparation regimen should consider the individual's medical history, medications, and prior colonoscopy results, as suggested by 1.

For patients undergoing colonoscopy, high-definition colonoscopes should be used, and cecal intubation rates should be measured, with a target rate of 90%, as recommended by 1.

Overall, these recommendations prioritize morbidity, mortality, and quality of life outcomes, and are based on the latest evidence from 1 and 1.

From the Research

Indicate the amount of liquid that must be prepared for the siphon enema

• 1-1,5 l 2, 3

The nurse has prepared the following equipment for gastric sounding. Find the error

• Tweezers, 0,1% histamine solution are not typically used for gastric sounding 2, 3

A patient with gastric ulcer after taking acetylsalicylic acid developed vomiting "coffee density", a decrease in blood pressure, tachycardia. Which of the additional research methods is contraindicated for use

• Gastric lavage, due to the risk of aspiration and worsening of the patient's condition 2, 3, 4, 5, 6

After eating poor-quality products, the patient complains of significant nausea, vomiting, and severe general weakness. Which of the following methods should be assigned first

• Gastric lavage, to remove the toxic substance from the stomach 2, 3

An unconscious patient was brought to the emergency department. It is known that some time ago he took a large amount of sleeping pills. What should be the actions of medical personnel in providing first aid

• Tracheal intubation and gastric lavage, to protect the airway and remove the toxic substance from the stomach 2, 3

The 60-years old patient suffers from cardiovascular system pathology. He has leg edema, shortness of breath, constipation, stool 1 time per week. What type of enema would you prefer

• Cleansing enema with 1,5L of water, to help relieve constipation and reduce the risk of cardiovascular complications 2, 3

Atonic intestinal impassibility is suspected in the patients. What type of treatment is necessary to prescribe

• No enema is indicated, as enemas can worsen the condition and cause further complications 2, 3

A patient suffering from constipation is prescribed a cleansing enema. What temperature should the nurse use for this procedure

• 38-39ºC, to help stimulate bowel movements and relieve constipation 2, 3

A patient complains of a decrease in pain in the epigastric region and the appearance of "coffee-thickness" vomiting. It is clear that the last meal an hour ago. Is it possible to use FGDS in this case

• Yes, for urgent indications, regardless of meal times, as the patient's condition requires immediate attention 2, 3, 4, 5, 6

The doctor prescribed hypertonic enema to the patient with intestinal atony. What liquid must use the nurse use for providing of procedure

• 10% sodium chloride solution, to help stimulate bowel movements and relieve constipation 2, 3

Other: How many hours after the last meal is a planned gastroduodenoscopic examination performed

• 6-8 hours, to ensure that the stomach is empty and the procedure can be performed safely 2, 3

The plan for preparing patients for sigmoidoscopy must include

• Statement of a cleansing enema in the morning, to help prepare the bowel for the procedure 2, 3

The tip is first inserted in the following direction when conducting a cleansing enema

• To the sacrum, to help guide the enema tip into the rectum and avoid discomfort or injury to the patient 2, 3

The tip is inserted in the following direction when conducting a siphon enema

• To the sacrum, to help guide the enema tip into the rectum and avoid discomfort or injury to the patient 2, 3

Cough, cyanosis of the skin of the face appeared in a patient with the introduction of a probe for gastric lavage. Specify the necessary actions of the nurse

• Remove probe, and call a doctor, as the patient is experiencing respiratory distress and requires immediate attention 2, 3

A patient complains of a decrease in pain in the epigastric region and the appearance of "coffee-thickness" vomiting. It is clear that the last meal an hour ago. Is it possible to use FGDS in this case

• Yes, for urgent indications, regardless of meal times, as the patient's condition requires immediate attention 2, 3, 4, 5, 6

How many containers should be prepared for collecting urine for Zimnitsky test

• 8, to collect urine samples over a 24-hour period and assess kidney function 2, 3

The patient complains of itching in the anus, especially at night, sleep disturbance. Which of the research methods should be assigned first

• Feces on helminth eggs, to rule out parasitic infections as a cause of the patient's symptoms 2, 3

The patient is prescribed a general urine test. What time of day should you collect urine

• In the morning after waking up, to collect a fresh urine sample and ensure accurate test results 2, 3

Other: Preparation of the patient for rectoromanoscopy includes

• All that was mentioned, including diet, cleansing enemas, and bowel preparation, to ensure that the patient is properly prepared for the procedure 2, 3