DRUG	SUPPLIED	DOSE	COMMENTS
PHOSPHATE ENEMA (Paeds) (Fleet) Mechanism of action: Osmotic laxative. Ref: 44, 67 Last update: 2019-08-23	Enema sizes: Pediatric: 65 mL (delivers 60 mL when used as directed) Adult: 133 mL (delivers 118 mL when used as directed) Contains monobasic sodium phosphate 16 g/100 mL and dibasic sodium phosphate 6 g/100 mL Sodium content: 3.6g/100 mL	Children 2 to 12 years: 1 pediatric enema PR x 1; may repeat x 1 dose. Children >12 years and Adults: 1 adult enema PR x 1 dose. May repeat x 1 dose.	Not recommended for infants < 6 mo. Onset of action: 2 to 5 minutes. May cause hyperphosphatemia, hypernatremia, hypocalcemia, hypotension, and acidosis. Overdose may cause tetany. AVOID retention of enema as increased systemic absorption can cause severe electrolyte disturbances. This is a hypertonic solution. Patients should be well-hydrated prior to use as the enema can cause further dehydration. Contraindicated in severe renal failure, megacolon, bowel obstruction, hypertension and congestive heart failure. Standard Prescription: phosphate enema __mL PR x 1 dose {may repeat x 1 dose}