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Solutions Commonly Used in Enemas

Across
Pure castile soap added to water or saline, causes intestinal irritation and stimulates peristalsis, only pure castile soap is safe to use
30 mL magnesium, 60 mL glycerin, and 90 mL water, provides relief from abd distention caused by flatus (gas)
500-1000 mL of tap water or soap suds, large volume distends colon stimulating peristalsis, can cause F&E imbalance by water intoxication
Down
500-1000 mL of normal saline (0.9% NaCL), distends colon stimulating peristalsis, F&E imbalance, sodium retention
90-120 mL, or 3-4 oz. of sodium phosphate, (Fleets), attracts water into the colon, can cause sodium retention, may be contraindicated in patients who tend to retain sodium (CHF and renal failure)
90-120 mL mineral oil, softens feces and lubricates the rectum