Suppository

How to administer suppository

1. SUPPOSITORY

2. DEFINITION OF SUPPOSITORY Cone shaped solid or semi-solid form Intended for insertion into body orifices ( Rectum, Vagina, Urethra ) They melt, soften or dissolve in the body orifices and exert local or systemic effect

3. Suppository Bases Fatty Bases Fatty Bases Theobroma oil Synthetic Hard Fat Glycero-gelatine Macrogols Soap glycerin

4. IDEAL SUPPOSITORY BASE Melts at body temperature or dissolves in body fluids. Non-toxic and non-irritant. Compatible with any medicament. Releases any medicament readily. Easily moulded and removed from the mould. Stable to heating above the melting point. Easy to handle. Stable on storage. 4

5. Types of Suppositories ( According to Route of administration ) Rectal Suppository Urethral Suppository Vaginal Suppository

6. Advantages of Suppositories Advantages Avoid first-pass metabolism

7. Disadvantages of Suppositories

8. COMMON SUPPOSITORY MEDICATIONS IN KMC

9. VOLTAREN Fever or Pain

10. PARACETAMOL Fever or Pain

11. MAXALON For nausea & vomitting

12. PROCTOSEDYL For relief of haemorrhoid

13. DULCOLAX For constipation

14. ANATOMY

15. PRE PROCEDURE Greet and explain procedure to the patient

16. PRE PROCEDURE Provide privacy and perform hand hygiene

17. PRE PROCEDURE Wear disposable gloves

18. PRE PROCEDURE Place hygeine sheet / incopad under buttock & position patient in left lateral or dorsal

19. PROCEDURE Cover with a sheet or a blanket & expose only when required POSITION TO LEFT LATERAL

20. PROCEDURE Lubricate suppository

21. PROCEDURE Insert suppository using index / 5 th finger gently not more than 1cm into the rectum

22. ABSORPTION OF DRUGS FROM RECTUM

23. INSERTION OF SUPPOSITORY IN RECTUM

24. POST PROCEDURE For infant / child, hold buttock

25. POST PROCEDURE Tidy & make patient comfortable

26. POST PROCEDURE Documentation