Presented By: Eddie M. Amboya Jr. Presented to: Ma. Carmela L. DomocmatRN, MSN

1. Prepared By: Eddie M. Amboya Jr.

2. A solution introduced into the rectum to
promote evacuation of feces or as a means of
introducing nutrients, medicinal substances,
or opaque material for radiologic
examination of the lower intestinal tract.

4. Barium Enema

5. Is a special x-ray of the large intestine, which
includes the colon and rectum.
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16. Barium should fill the colon evenly, showing
normal bowel shape and position and no
blockages.

17.  Acute appendicitis
 Colitis due to Crohn's disease
 Colorectal cancer
 Colorectal polyps
 Diverticulitis
 Twisted loop of the bowel (volvulus)
 Ulcerative colitis

18.  Patients are usually restricted to a liquid diet for 24 to 48
hours before the exam. They should not eat or drink after
midnight on the day of the barium enema
 Administer Laxatives or a cleansing enema for bowel
preparation. The patient's large intestine must be empty of
stool to get useful images.
 Encourage the patient to consume plenty of liquids before
and after the exam. This helps to prevent dehydration and
constipation. Barium is a dehydrating substance.

19.  Educate the patient about the purpose of the exam and
bowel preparation. When possible, let him know what to
expect ahead of time. Inform the client that it's normal to
have white stools for a few days after the procedure.
 should be prepared to allow the client to rest and eat after
the procedure. The patient might be given a laxative for
constipation or to get rid of any barium that remains.
 Do perennial care

20.  Provide privacy. To prevent feeling of
embarrassment.
 Promote relaxation. To relax anal sphincter
and facilitate insertion of rectal tube.
Promote relaxation. To relax anal sphincter
and facilitate insertion of rectal tube.
 Do perennial care