How to use Suppository

Purpose
• To produce a laxative effect. (bowel movement),suppository is used frequently instead of enema since it is inexpensive.
• To produce local sedative in the treatment of hemorrhoids or rectal abscess.
• To produce general sedative effects when medications cannot be taken by mouth
• To check rectal bleeding

Equipment
• Suppository (as ordered)
• Gauze square
• Rectal glove or finger cot
• Toilet paper
• Receiver for soiled swabs
• Bedpan, if the treatment is in order to produce defection.
• Screen
• Mackintosh and towel

Procedure
1. Check medication order.
2. Review client’s medical record for rectal surgery/ bleeding.
3. Wash hands.
4. Prepare needed equipment and supplies.
5. Apply disposable gloves.
6. Identify client.
7. Explain procedure to client.
8. Arrange supplies at client’s bedside.
9. Provide privacy.
10. Position client in Sims’ position.
11. Keep client draped, except for anal area.
12. Examine external condition of client’s anus. Palpate rectal walls.
13. Dispose of gloves, if soiled, and reapply new gloves.
14. Remove suppository from wrapper and lubricate rounded end.
15. Lubricate gloved finger of dominant hand.
16. Ask client to take slow, deep breaths through mouth and to relax anal sphincter.
17. Retract client’s buttocks with nondominant hand.
18. With index finger of dominant hand, gently insert suppository through anus, past the internal sphincter, and place against rectal wall, 10 cm for adults or 5 cm for children and infants.
19. Withdraw finger and wipe client’s anal area clean.
20. Remove and dispose of gloves.
21. Wash hands.
22. If suppository contains a laxative or fecal softener, be sure that client will receive help to reach bedpan or toilet.
23. Keep client flat on back or on side for 5 minutes.
24. Return in 5 minutes to determine if suppository has been expelled.
25. Observe client for effects of suppository 30 minutes after administration.
26. Record medication administration.