382 results
Enema Selection / Comparison Table

A short guide for choosing which enema to order depending on the
Enema Selection ... choosing which enema ... Phosphate “Fleet” Enema ... Mineral Oil Enema ... with cleansing enema
Pharmacologic Management of Constipation 
Fiber Laxatives
 - Bran powder
 - Psyllium
 - Methylcellulose
 - Calcium polycarbophil
- Linaclotide Enemas ... Sodium phosphate enema ... - Mineral oil enema
Algorithm for Treating Constipation in Hospitalized Patients
1. Start with miralax daily, uptitrate to desired BM, consider
neutropenic, no enemas ... Give an enema including ... laxative (avoid fleet enema
Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
 • Natural phytochemical from turmeric
 • 2g/day divided in 2-3
Budesonide Foam PR, Enema ... Difficult to retain enemas
Mesalamine (Mesalazine) Therapy Simplified by Location
Orals - Terminal Ileum, Ascending Colon, Transverse Colon
Enemas - Reach the
Transverse Colon Enemas
Causes of Hypermagnesemia
Increased magnesium load
 - Magnesium-containing laxatives, antacids, or enemas
 - Treatment of pre-edampsia/eclampsia (mothers
, antacids, or enemas
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
Magnesium-containing enemas
Intern Pocket Cards - Inpatient Bowel Regimen Guide
Osmotic agents (draws water into bowel, thereby loosening stool
• Tap water enema
Hyperphosphatemia - Differential Diagnosis Algorithm
Transcellular Shift:
 • Rhabdomyolysis
 • Tumor Lysis
 • Metabolic or Respiratory Acidosis
Phosphate Containing Enemas
Hepatic Encephalopathy Treatment
 • Lactulose:
    - Oral liquid, 30-45mL 2-4x/day, titrated to 2-4
swallow) - Via enema