Need help on this question...

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I take my Excelsior NC 2 test tomorrow and I can't seem to find a straight answer to this question...

What is the enema of choice to use on an infant? Such as tap water, normal saline etc.

I'm totally confused by this cause I've seen both answers come up in my studies.

Can someone please help me!!

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How small of an infant? I've never given one to a tot younger than about 10-12 months, and for them I've used fleets. I don't know what the answer would be for one smaller, have only used glycerin supps for those.

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Unfortunately you know these little pre exam tests you take to use as study material doesn't say how small of an infant. Is there a difference for what you would use for an infant /child/toddler?

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I don't know, as I said I've never given an enema to a small one. I have given fleets to one around a year old, but that wasn't even a whole bottle and it was a pretty desperate case....either get the kid to poop or he was going to become obstructed. You could see it on the x-ray where the stool was backing up his colon. I have never seen a constipation that bad in a smaller one that didn't respond to fluids and glycerin. If I had to take a guess, I would think that tap water would be best for an infant, with fleets for the toddlers.

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Actually, I found the answer. I am reviewing another pre test but this one is from Excelsior's website so its gotta be right. The answer is normal saline because tap water can cause a rapid fluid shift and fluid overload since it is hypotonic.

Thanks so much!! Have a great night/early morning!!

Wendy

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im looking for a review pn course anywhere im in nc but willing to drive to any place

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This is my first time on here so I don't know if this is being placed the right way or not... I have a question, I take care of a man with esophageal cancer and he has a trach. We have an emergency obturator by the bed, just in case. I thought an abturator was to block the airway and I don't understand why I would ever need that. They say for when the outer cannula comes out, but how does this work? I don't get it. thanks

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