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Nasogastric Tube Feeding
 
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    Nasogastric Tube Feeding Nasogastric Tube Feeding Presentation Transcript

    • NASOGASTRIC TUBE FEEDING
      • By S/N Roselin
    • Purpose
      • To feed the patient with fluid diet via a nasogastric tube
    • Requisites
      • Tray containing
      • Ryles tube ,Kidney tray
      • Measured volume of water
      • Prescribed feed - Ensure/Glucerna
      • 50ml syringe / 20ml syringe
      • Blue litmus paper
      • A Stethoscope
      • Protective materials - White towel
    • Procedure
      • Action
      • Place the patient in semi to high fowler’s position or a lateral if patient cannot be propped up.
      • Rationale
      • To prevent gastric discomfort or regurgitation of feed.
      • Remove spigot from the nasogastric tube
      • Action
      • Aspirate stomach contents gently with 50ml syringe and with test with blue litmus paper.
      • Rationale
      • To conform the position of the tube and note the residual amount. If the tube is in the stomach the blue litmus paper change red.
      • Action
      • Observe the nature of aspirate for color, volume and presence of blood.
      • Rationale
      • To exclude the malabsorption of previous feed and review feeding regime if necessary.
      • Action
      • Attach funnel / Syringe to the tube and hold it to the side, at the level of the patient’s forehead.
      • Rationale
      • If the syringe is held too high, it increases the pressure at which the fluid enters the stomach.
      • Action
      • Fill the funnel/ syringe with the prescribed feed, allowing it to flow in by gravity.
      • Action
      • Do not allow the funnel to become empty.
      • Rationale
      • To prevent gastric distention during feeding.
      • Action
      • Observe the nature of aspirate for color, volume and presence of blood.
      • Rationale
      • To exclude the mal absorption of previous feed and review feeding regime if necessary.
      • Action
      • Observe the patient during feed.
      • Rationale
      • To detect any adverse reaction to the feeding.
      • Action
      • Conclude feed with water.
      • Rationale
      • To keep the lumen of tube feeding.
      • Action
      • Disconnect the apparatus and spigot the tube.
      • Rationale
      • To prevent backflow and leakage.
      • Action
      • Record the type and amount of feed and water given.
      • Note
      • Nasogastric tubes are changed weekly or when necessary.
      • Thank you!