NasoGastric Tube Feeding
NasoGastric Tube Feeding
NasoGastric Tube Feeding
Definition:
Also known as gastric gavage; installation of especially prepared formula into the digestive
tract through a tube that is inserted through one of the nostrils down to the alimentary tract.
Purpose:
- Prevent nausea, vomiting and gastric distention following surgery
- Remove stomach contents for laboratory analysis
- To lavage (wash) the stomach in cases of poisoning and overdose of medication
- To administer medication
- To administer supplemental fluid
- To provide feeding
Procedure:
E. Rinse the Feeding Tube Immediately before all the formula has run through the
tubing.
14. Instill the feeding tube with 60ml of water. – Water cleans the lumen of the tube,
preventing future blockage by sticky formula.
15. Be sure to add water before the syringe or tubing is empty. – Prevents the
instillation of air into the stomach or intestine which causes unnecessary
distention.
H. Thank the client for the cooperation and dispose equipment properly, if it is to be
reused, washes it thoroughly with soap and water so that it is ready for reuse.
Afterwards do handwashing and document relevant information, kind, duration of
feeding. Assessment of the client and record the volume of the feeding and the water
administered on the clients intake and output record
and lastly, monitor client for possible problem.
I. Removing NGT
1. Confirm the physician’s order to remove the tube. Assume handwashing to
reduce the number and transmission of microorganisms. Prepare the
materials/equipment needed such as tissues, clean disposable gloves, disposable
pad, disposable plastic bag and asepto syringe/bulb syringe. After preparing the
equipment we are now ready to head on to the client’s room. Knock on the door
before entering the room, greet the patient upon entering. Introduce yourself and
verify the client’s identity by asking the client’s fullname.
2. Prepare the client. Explain that the procedure will not cause any discomfort. Assist
the client to a sitting position if health permit’s. Place disposable pad across the
client’s chest to collect any spillage of mucous. Provide tissue to the client to wipe
the mouth and nose upon removal of the tube. Unpin the tube from the client’s
gown. Remove adhesive tape securing the tube to the nose.
3. Remove the tube.
- Put on disposable gloves. – Gloves prevent soiling the hand and clothing
when handling secretions and excretions.
- Instill 50 ml of air into the tube. – Air clears the lumen of any contents such as
food and gastric drainage.
- Ask the client to take a deep breath and hold it. – This closes the glottis,
thereby preventing accidental aspirations of any gastric contents.
- Pinch the tube. – Pinching prevents any contents inside the tube from
draining into the clients throat.
- Quickly and smoothly withdraw the tube. Place the tube in the plastic bag. –
Prevents the transfer of microorganisms from the tube.
4. Ensure client’s comfort. Assist the client as required to blow the nose. –
Excessive secretions may have accumulated in the nasal passages. Provide
mouthwash. Thank the client for cooperation.
5. Dispose all the equipment appropriately. Place the pad, bag with the tube and
gloves in the receptacle designated by the agency. – Correct disposal prevents the
transmission of microorganisms.
6. Do handwashing and document relevant information. Record the removal of the
tube and any relevant assessment of the client.