sorry to add this after but i thought it was worth posting...
we had one patient that wanted to go home....a patient that was driving everyone crazy (nurses, doctors...everyone), but she could not be discharged until she pooped.....we had tried a few medications already and nothing was gettin her to move....so my attending brought out an old remedy that he learned about during his internship....a method that he promised would have her out by the next day...
she had not passed a movement in 5 days....first he wanted to try an enema...and one that i never would have thought of until i actually thought about the physiology then realized how genius it truly is...
he wrote an order to the pharmacy....combine the following, 250cc milk, 250 cc manitol, 500 cc saline.....use that mixture as an enema.....
administered at 7pm, by 7am the next morning she had pooped over 5 times, and felt great, and was discharged and out by 1pm...
the normal combo is powdered milk and malasis (not sure of spellin on that one) but manitol works the same way as an osmotic agent, the milk acts as a buffer and everything just gets moving....
genius....seriously!
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