As necessary, prepare to begin the colostomy irrigation (see figure 1-6).
(1) Remove the ostomy pouch, if applicable, and place the irrigation drain
pouch over the stoma. (Attach stoma belt if required.)
(2) Place the bottom, open end of the irrigation drain pouch in the toilet (or
bedpan) to facilitate drainage by gravity.
Connect the cone-tip catheter to the tubing and flush with solution.
Figure 1-6. Colostomy irrigation.
j. Lubricate the cone with the water-soluble lubricant to avoid irritating the
k. Gently insert the cone into the stoma so that the stoma is occluded.
l. Unclamp the irrigating tubing and allow the water to flow in slowly.
Allow water to enter the colon over a period of 10 to 15 minutes.
(2) If cramping occurs, slow down the flow rate and ask patient to deep
breathe until cramps subside. Cramping during irrigation may indicate that:
The bowel is ready to empty.