Milk and Molasses Enemas

[trixie]

There are still physicians at the hospital where I work ordering milk and molasses enemas. Is anyone else out there still using these?! If so, what is the procedure followed for mixing and administering?

Thanks

[pharmgirl]

I have done several of them. They are a sticky mess but do work.

[LuxCalidaNP]

As far as evidence-based practice goes, there is NO evidence that Milk o' mo works any better than a warm H20 enema. plus, you're screwed if you missed that milk allergy in their chart...

[canesdukegirl, BSN, RN]

Oh goodness! I have HAD one of these as a patient. They work!

[carrotstix]

When I was little I used to come home from school and my mom would make me molasses milk... to drink. Pretty tasty. Never knew I was drinking an enema haha.

[Sonjailana]

I found this link

http://www2.mdanderson.org/app/pe/index.cfm?pageName=opendoc&docid=31

[Suethestudent]

"Gently insert the tube approximately 12 inches into the rectum or until you feel resistance.

Do not force the tube. "( MD Anderson Cancer quote)

That's a loooooong way... I was taught 3-4" max for an adult. Has anyone ever inserted a foot of tubing?

[OttawaRPN]

I was taught beyond the internal sphincter so 4-6 inches for adults.

[Esme12, ASN, BSN, RN]

"Gently insert the tube approximately 12 inches into the rectum or until you feel resistance.

Do not force the tube. "( MD Anderson Cancer quote)

That's a loooooong way... I was taught 3-4" max for an adult. Has anyone ever inserted a foot of tubing?

Not quite that far but to the point of slight resistance...........we had a MD who always ordered 3H enemas......

High....Hot....and a helluva lot!

[canoehead, BSN, RN]

I had a physician order it, but the pharmacy said we don't carry molasses.

It's a nonformulary drug in this case, suck it up pharmacy!

[MassED, BSN, RN]

"Gently insert the tube approximately 12 inches into the rectum or until you feel resistance.

Do not force the tube. "( MD Anderson Cancer quote)

That's a loooooong way... I was taught 3-4" max for an adult. Has anyone ever inserted a foot of tubing?

no way, never 12 inches. That's just ridiculous.

[MassED, BSN, RN]

why not just skip all that and use some Habanero peppers..... that'd clear a person out!

[Crispy Critter]

I remember when those 3H enemas from the 70's! Also,"Enemas till clear" was a common order for test prep, and some patients tolerated it very poorly. I, too, thought someone was yanking my chain when I first heard of an M&M enema. I've never given one. Are they worse than Kayexelate PR? Hate that stuff!