Respuesta :
Enemas should be avoided in clients with increased intracranial pressure (icp).
What causes increased ICP?
- An essential daily problem in the practice of intensive care is the management of motility disorders and irregular defecation patterns.
- In individuals undergoing neurosurgery procedures, insufficient bowel movements may be linked to an increase in intracranial pressure.
- Long-term analgosedation, which is frequently required following a TBI or subarachnoid hemorrhage, can cause inadequate bowel movements and even a condition that resembles paralytic ileus. This may result in an elevation of intracranial pressure (ICP) as well as an increase in intra-abdominal pressure (IAP).
- Additionally, a low rate of feces may be linked to extended ventilation, a higher likelihood of bacterial infection, and a higher rate of mortality.
- However, repeated positioning adjustments that could ultimately result in a rise in ICP, particularly in patients with severe brain injury, and high-rate or high-volume defecations result in higher nursing efforts and possibly an increased patient risk due to dehydration.
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