Scribd Logo
Upload

Welcome to Scribd!

  • Alternative Feeding

    Uploaded by

    Eula Angelica Oco
    48 views36 pages
    This document discusses alternative feeding modalities like nasogastric tube insertion, administration of tube feedings, and nasogastric tube irrigation and lavage. It describes the purpose of different types of nasogastric tubes including Levin tubes for decompression and medication administration. It outlines steps for checking tube placement, administering tube feedings, irrigating tubes to ensure patency, and trialing oral feeding when removing tubes. The overall goal is to provide nutrition to patients who cannot eat by mouth through safe and effective use of feeding tubes.

    Original Description:

    Original Title

    ALTERNATIVE FEEDING

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document discusses alternative feeding modalities like nasogastric tube insertion, administration of tube feedings, and nasogastric tube irrigation and lavage. It describes the purpose of different types of nasogastric tubes including Levin tubes for decompression and medication administration. It outlines steps for checking tube placement, administering tube feedings, irrigating tubes to ensure patency, and trialing oral feeding when removing tubes. The overall goal is to provide nutrition to patients who cannot eat by mouth through safe and effective use of feeding tubes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    48 views36 pages

    Alternative Feeding

    Uploaded by

    Eula Angelica Oco
    This document discusses alternative feeding modalities like nasogastric tube insertion, administration of tube feedings, and nasogastric tube irrigation and lavage. It describes the purpose of different types of nasogastric tubes including Levin tubes for decompression and medication administration. It outlines steps for checking tube placement, administering tube feedings, irrigating tubes to ensure patency, and trialing oral feeding when removing tubes. The overall goal is to provide nutrition to patients who cannot eat by mouth through safe and effective use of feeding tubes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 36

    ALTERNATIVE FEEDING

    MODALITIES
    ❖ NGT INSERTION
    ❖ ADMINISTERING A TUBE FEEDING
    ❖ NGT IRRIGATION/GASTRIC LAVAGE
    ❖ NGT REMOVAL
    OVERVIEW

    • Enteral nutrition is a process of being fed with a medical device –


    feeding tube, enteral feeding or gavage
    • Moderate to severe neurological impairment
    • Use to patient requiring for additional nutritional supplementation
    • Inserted to decompress and drain the stomach before and after surgery
    • To lavage (wash out) the stomach
    • When suction is applied to the tube-gastric secretions and accumulated gas
    are removed
    • A large bore NG tube – instill nourishment and medications
    NURSING DIAGNOSIS

    • Impaired swallowing related to decrease neuromuscular control of


    the mouth and throat
    • Risk for Aspirations related to impaired swallowing
    • Impaired comfort related to presence of NG tube
    TYPES OF NASOGASTRIC TUBES
    Type Purpose Sizes Composition
    Levin Decompression 5 – 8 French Flexible plastic or
    Medication (diameter) rubber
    administration Single lumen
    Salem sump Decompression 5 – 18 French Flexible plastic
    Double lumen
    Small-bore silicone Enteral nutrition 5 – 12 French Metal stylet
    Medication 22 – 60 inches Weighted/non-
    administration (length) weighted
    1. Levin tube
    2. Salem sump
    SIZES AND COLOR CODE FOR NG TUBE
    3. SMALL-BORE, SILICON FEEDING TUBES

    Soft material, small size are less irritating to


    nose and throat
    Comes with a metal stylet threaded through
    lumen to facilitates insertion
    Final positioning is verified by x-ray films
    with stylet in placed.
    Harris, Cantor and Miller Abbot tube
    • Insertion of a clear plastic tube inserted through the nose, down
    the back of the throat through esophagus and into the stomach
    PURPOSE

    • To administer tube feedings and medications to clients unable to eat by


    mouth or swallow a sufficient diet without aspirating food or fluids into the
    lungs
    • To establish a means for suctioning stomach contents to prevent gastric
    distention, nausea and vomiting
    • To remove stomach contents for laboratory analysis
    • To lavage (wash) the stomach in case of poisoning or overdose of medications
    INDICATIONS

    • Abdominal distention
    • Gastro-intestinal bleeding
    • Inability to swallow
    • Diagnostic test
    PRINCIPLES

    • Oral care is essential to client with nasogastric tube


    • Most clients with NGT in place with breathe through mouth, the lips should
    be moistened from time to time
    • The presence of NGT can produce nasal irritation and potential for mucosal
    breakdown
    • For prolonged tube placement, the tube will be replaced every 2 -3 weeks, if
    possible place the tube in alternating nostrils
    Normal aspirates Coffee ground
    Bright red blood Fecal matter
    Value Indications Action

    pH less than 5 Gastric Proceed to feed

    pH 5 – 6 Check visual characteristics of If visual characteristics indicate


    aspirates gastric aspirates, proceed to
    feed. Otherwise, do check x-ray
    to confirm tube placement

    pH more than 6 Intestinal or Respiratory Do check x-ray to confirm tube


    placement
    VISUAL CHARACTERISTICS OF FEEDING TUBE ASPIRATES:

    Gastric Intestinal Respiratory

    May be grassy green with Generally more transparent than Tracheobroncheal


    sediment, brown (if blood is gastric aspirates and may appear secretion may consist of
    present and has been acted on by bile stained, ranging in colour from off white to tan sediment
    gastric acid light to dark golden yellow or
    brownish-green
    STEPS:

    • https://www.youtube.com/watch?v=z5PZXA1zqA4https://www.youtube.com/watch?v=z5PZXA1zqA4
    • The state of being fed by a feeding tube is called GAVAGE,
    ENTERAL FEEDING OR TUBE FEEDING
    BEFORE FEEDING:
    METHODS ON HOW TO CHECK CORRECT PLACEMENT OF NG
    TUBE AT BEDSIDE

    ❖Aspirating visually recognizable gastrointestinal secretions


    ❖Auscultating air insufflated through the nasogastric tube
    ❖pH testing of aspirates
    THE ONLY POSITIVE METHOD OF GUARANTEEING
    CORRECT PLACEMENT OF NG TUBE

    • X-ray
    STEPS

    • https://www.youtube.com/watch?v=QSJqMANOi8g
    PURPOSE

    • To ensure the patency of the nasogastric tube


    INDICATION

    • Stomach contents fail to flow through the tube


    STEPS

    • https://www.youtube.com/watch?v=Mu93I7bErUc
    PURPOSE

    • To check if the patient can tolerate oral feeding


    PROCEDURE

    • https://www.youtube.com/watch?v=y2SBY4LFzGg

    You might also like