R.RAJESHWARI, B.
Sc(N)
Nursing Tutor
KVCN
Introducing the tube into the
rectum for expulsion of gas.
To remove flatulence from the lower
bowel.
To relieve abdominal distension.
Assess for the pattern of fecal
elimination.
Assess the dietary pattern.
Assess the clients abdomen for hardness
and distension.
Assess the abdominal girth.
Screen
A clean tray containing,
Rectal tube of correct size; 22-26Fr
Kidney tray with water
Water soluble lubricant
Wet swab in a container
Mackintosh and towel
Long artery forceps
Glass connector
Adhesive tape
gloves
Explain the procedure to the patient.
Assemble all the equipments near bedside.
Provide privacy.
Roll the draw sheet to one side and spread
the mackintosh.
Position the patient in left lateral with right
knee flexed.
Cover the patient with bath blanket or top
sheet exposing rectum.
Clean the anal area using wet cotton swabs.
Lubricate the flatus tube about 15 cm and inset
it about 12 cm into the anus.
Connect the free end of flatus tube to extra
tubing by the glass connector and keep it under
water in the kidney tray placed between the
thighs.
Keep a big piece of cotton over the distal end of
the tubing.
Watch for expulsion and remove it after 10-20
minutes.
Clean the anus with the cotton swab.
Reposition the patient comfortably.
Replace the articles.
Wash hands.
Document the procedure done.
Record the date, time, and duration of the
procedure.
Specify the level of reduction in abdominal
distension.
Specify the patients tolerance to the
procedure.
Specify the patients response after the
procedure.
Report any adverse effects.
Evaluate the level of comfort of the
patient.
Observe for relief of abdominal
distension.