Milk Enima
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Milk Enima
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Milk and Molasses Enema Recipe, Dosing, Ratio, Mechanism, Directions
Milk and Molasses Enema Recipe, Dosing, Ratio, Mechanism, Directions
Milk and Molasses Enema Recipe, Dosing, Ratio, Mechanism, Directions
Reviewed by Simon Albert
on
April 21, 2018
Rating: 5
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1 Ann Arbor, MI. Electronic address: kparkhur@umich.edu.
2 Ann Arbor, MI.
Kimberley Wallaker et al.
J Emerg Nurs .
2014 Nov .
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1 Ann Arbor, MI. Electronic address: kparkhur@umich.edu.
2 Ann Arbor, MI.
Hansen SE, Whitehill JL, Goto CS, Quintero CA, Darling BE, Davis J.
Hansen SE, et al.
Pediatr Emerg Care. 2011 Dec;27(12):1118-20. doi: 10.1097/PEC.0b013e31823b0088.
Pediatr Emerg Care. 2011.
PMID: 22134228
Vilke GM, DeMers G, Patel N, Castillo EM.
Vilke GM, et al.
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J Emerg Med. 2015.
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Wangui-Verry J, et al.
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Am J Nurs. 2019.
PMID: 31408025
Gleghorn EE, Heyman MB, Rudolph CD.
Gleghorn EE, et al.
Clin Pediatr (Phila). 1991 Dec;30(12):669-72. doi: 10.1177/000992289103001203.
Clin Pediatr (Phila). 1991.
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Introduction:
We aimed to describe current nursing practice and clarify the safest and most effective dose of milk and molasses enemas used to relieve constipation in pediatric patients presenting to a suburban pediatric emergency department.
Methods:
We surveyed emergency nurses about current practice in administration of milk and molasses enemas. In addition, we identified consecutive patients aged 2 to 17 years with a discharge diagnosis of constipation or abdominal pain between 2009 and 2012. Stable patients were included from the emergency department, in the absence of chronic medical conditions. For each patient, we recorded demographic characteristics, chief complaint, nursing administration technique, stool output, patient tolerance, side effects, amount of enema given, and patient disposition.
Results:
We identified 500 patients with abdominal pain or constipation, 87 of whom were later excluded. Milk and molasses enemas were found to be effective at relieving constipation in our population, with a success rate averaging 88% in patients given 5 to 6 mL/kg with an institutional guideline maximum of 135 mL. The success rate was found to vary with age, along with the amount of enema given.
Discussion:
Our nursing survey showed that varying practice exists regarding technique and dosing of milk and molasses enemas. Historical chart review showed that milk and molasses enemas in our emergency department were safe and effective with minimal side effects.
Keywords:
Constipation; Encopresis; Enema; Milk; Molasses; Pediatric.
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Affiliation
1 Department of Emergency Medicine, University of California, San Diego Medical Center, San Diego, California.
Gary M Vilke et al.
J Emerg Med .
2015 Jun .
Format
Abstract
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Affiliation
1 Department of Emergency Medicine, University of California, San Diego Medical Center, San Diego, California.
Hansen SE, Whitehill JL, Goto CS, Quintero CA, Darling BE, Davis J.
Hansen SE, et al.
Pediatr Emerg Care. 2011 Dec;27(12):1118-20. doi: 10.1097/PEC.0b013e31823b0088.
Pediatr Emerg Care. 2011.
PMID: 22134228
Wangui-Verry J, Farrington M, Matthews G, Tucker SJ.
Wangui-Verry J, et al.
Am J Nurs. 2019 Sep;119(9):24-28. doi: 10.1097/01.NAJ.0000580148.43193.76.
Am J Nurs. 2019.
PMID: 31408025
Wallaker K, Fortuna E, Bradin S, Macy M, Hassan M, Stanley R.
Wallaker K, et al.
J Emerg Nurs. 2014 Nov;40(6):546-51. doi: 10.1016/j.jen.2013.08.012. Epub 2013 Oct 30.
J Emerg Nurs. 2014.
PMID: 24182894
Davies C.
Davies C.
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Anderson J, Furnival RA, Zhang L, Lunos SA, Sadiq Z, Strutt JR, Kaila R, Hendrickson MA.
Anderson J, et al.
J Emerg Med. 2019 Oct;57(4):461-468. doi: 10.1016/j.jemermed.2019.07.009. Epub 2019 Oct 5.
J Emerg Med. 2019.
PMID: 31594739
Free PMC article.
Argoff CE, Brennan MJ, Camilleri M, Davies A, Fudin J, Galluzzi KE, Gudin J, Lembo A, Stanos SP, Webster LR.
Argoff CE, et al.
Pain Med. 2015 Dec;16(12):2324-37. doi: 10.1111/pme.12937. Epub 2015 Nov 19.
Pain Med. 2015.
PMID: 26582720
Free PMC article.
Review.
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Background:
Increased scrutiny is occurring from regulatory agencies about the use of nonsteri
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