Today is our topic of discussion Insertion of a Flatus Tube.
Insertion of a Flatus Tube
Insertion of a Flatus Tube
Flatus tube or a rectal tube inserted into the rectum to relieve flatulence and gaseous distension of the abdomen. Passing of flatus tube is defined as an introduction of a tube into the rectum for expulsion of gas (Fig. 15.3).
Purpose
- To remove flatulence from the lower bowel
- To relieve abdominal distension
- Used before giving a retention enema.
General Instructions
- Introduce the rectal tube into 4 to 6 inches
- Rectal tube should not leave more than 30 minutes
- Longer periods of insertion can lead to permanent sphincter damage
- The tube can be re-inserted every 3 to 4 hours if necessary.
Preliminary Assessment
- Check
- The doctors order for any specific precautions
- Patients general condition
- Diagnosis of the patient
- Self-care ability of the patient
- Mental status to follow instructions
- Articles available in the unit.
Preparation of the Patient and Environment
- Explain the sequence of the procedure
- Provide privacy
- Provide left lateral position
- Arrange the articles at the bed side
- Place the Mackintosh under the buttocks of the patient.
Equipment
- A clean tray containing Flatus tube in a kidney tray with water
- Vaseline
- Wet swabs in a bowl Paper or
- Mackintosh or towel
- Paper bag
- Long artery forceps
- Screen.
Procedure
- Wash hand thoroughly
- Place the patient in left lateral position
- Lubricate the flatus tube and insert 4 to 6 inches into the anal canal
- The free end of the tube is kept in water in a kidney tray Keep the tube in a place for 20 minutes
- Presence of air bubbles in the water indicates that flatus is being expelled
- Remove the tube and place it in the K-basin.
After Care
- Clean and area with wet cotton swabs
- Position the patient comfortably
- Replace the article after cleaning
- Wash hand thoroughly
- Record the procedures and findings in the nurses record sheet.
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