Need some information. What do you use in your facillity as bowel care protocol esp. in relation to ICU patients.
When do you intervene for constipation?
What do you use for constipation?
What do you used for stopping/preventing diahorrea?
Is anyone using prune juice or pear juice for constipation?
Is anyone using yoghurt/drinking yoghurt and.or acidophillus bifidus tabs(sp?)
Any information would be a help. I have to finalise our protocols and you would be amazed at what you cannot reference.
I work on a Med/Surg floor so obviously some things won't apply to all ICU pts but I will give what we do in our Bowel Protocol.
If the Dr. orders the Bowel Protocol (and even sometimes when we make the decision and ask the dr for it) the pt gets Colace 100 mg BID.
On day 3 with no BM, We give MOM and Cascara. this is usually as far it it is needed. But if further is needed, we continue the MOM/Cascara QD and give a Dulcolax supp.
If that does not work in 8 hours, then we give Fleet's enema.
Iif all else fails we contact the doctor and give a Cottonseed oil/Colace enema and then enemas until clear. We also consider disimpaction as the case mey be.
There aare exceptions to this and we use our own judgement if no one as caught the days since BM.
We do use the Acidophillus tabs/granules and if someone has diarrhea they are cultured for C. Diff (running rampant right now at our hospital) and started on Flagyl and Kaopectate and Lactinex (the acidoplilus). We hardly ever use Lomotil anymore.
I hope this helps.
Last edit by jayne109 on Jul 18, '03