It will help to understand more about nasogastric feeding in detail .

1. NASOGASTRIC
TUBE
FEEDING
Presented by :
Mr. ILLAYA RAJA
&
C M MUSAMMIL
Bsc NURSING
SEA COLLEGE OF NURSING

2. Nasogastric
Food Feeding

3. INTRODUCTION

4. DEFINITION OF
NASOGASTRIC INTUBATION

5. •LEVIN TUBE
•DOBHOFF TUBE
•SALEM SUMP TUBE
TYPES OF
NASOGASTRIC TUBE

6. LEVIN TUBE
SALEM SUMP TUBE

7. DOBHOFF TUBE

8. LEVIN TUBE
• It is a single lumen, small
bore NG tube. It is more
appropriate for
administration of
medication or nutrition.

9. DOBHOFF
TUBE
• It is a small bore NG tube
with a weight at the end
intended to pull it by gravity
during insertion.

10. SALEM SUMP
TUBE
• It is a large bore NG tube with
double lumen. This avails for
aspiration in one lumen, and
venting in the other to reduce
negative pressure and prevent
gastric mucosa from being drawn
into the catheter.

11. PRINCIPLES

12. PRINCIPLES
• The feeding is a process of giving liquid nutritents or
medications through a tube into the stomach when the oral
intake is inadequate or impossible.
• A through the knowledge if the anatomy and physiology of
the digestive tract and respiratory tract ensures safe indication
of the tube.
• Micro organism enter the body through food and drink

13. CONT......
• Introduction of the tube into the mouth or nostrils is a
freighting situation and the client will resist every attempt.
mental physical preparation of the client facilltates
introduction of the tube.
• Systematic way of working adds to the comfort and safety of
the client and help in the economy of material time and
energy

14. Advantages Of Gastric
Gavage
•An adequate amount of all types of nutrients including
distasteful foods and medications can be supplied.
•Large amount of fluids can be given with safety.
•The dangers of parenteral feeding are avoided.

15. CONT.....
•Tube feeding may be continued for weeks without any
danger to the client.
•The stomach may be aspirated at any time if desired.
•Overloading of the stomach can be prevented by a drip
method.

16. ASPIRATION
• It is breathing in a
foreign object such as foods or
liquids into the trachea and lungs
and happens when protective
reflexes are reduced or
jeopardized. An infection that
develops after an entry of food,
liquid, or vomit into the lungs
can result in aspiration pneumonia
This Photo by Unknown author is licensed under CC BY-NC.

17. INDICATIONS :
• When the patient is unable to
ingest , chew or swallow food
• When the patient is too weak
to swallow food.
• When the patient unable
to retain food
• Surgery of mouth.
• Paralysis of face and throat.
• Fracture of jaw
• For a patient who refuse food
CONTRAINDICATION:
Gastric surgery
Ulcers
Tracheo - esophageal fistula
Esophageal surgery
Polyps in nose
Deviated nasal septum
Severe fracture
.
.
.
.
.
.
.

18. NURSES RESPONSIBILITY
IN ADMINISTRATING A
TUBE FEEDING

19. PRELIMINARY ASSESSMENT
• Identify the client with name , bed number , o.p number , I.p
number.
• Check the doctor's order for any special precautions if any.
Regarding the tube feeding , movement of the client positioning.
• Check the level of consciousness and the ability to move and to
maintain a desired position during the insertion of the tube.
• Check whether the feed is ready at hand.
• Check the articles available in the client's unit.

20. ARTICLES
AND
PURPOSE

21. ARTICLES
NEEDED
Paper bag
.

22. Articles Purpose
• Feeding cup with water • To give mouth wash
before and after the
feeding.

23. • Livine tube or Ryle's
tube (size 8,10,12,14,16
& 18 Fr) tube in the bowl
of ice lubricant such as
water soluble jelly or
glycerin or liquid
paraffin
Cont.....

24. • Adhesive plaster and scissors
• Rag pieces in a container
• Paper bag
• Clean syringe or a funnel in the
tray
• A glass of feed in a bowl of warm
water
• Ounce glass
• A bowl with water
• Clamp
• Personal protective equipment
• Mackintosh and towel
• To fix the tube in position
• To wipe the secretion
• To collect the waste
• To aspirate the gastric content
& to give the feeding
• To give the feed at the body
temperature
• To measure the fluid intake
• To test the location of the tube
• To clamp the tube
• To protect self
• To protect the garment and
prevent from soiling
• To collect the waste
Cont.....
Kidney tray
.

25. PREPRATION OF
THE CLIENT AND
THE UNIT :
(INSERTION)

27. procedure

28. STEPS OF
PROCEDURE
1. Wash hands with soap and
water.
2. Clean the nostrils with
a cotton tipped applicator
soaked in saline.

29. 3. Take the Rale's tube and measure distance for
insertion of the tube from bridge of the nose to ear
lobe to the tip of the xiphoid process of sternum.
Mark the distance of the tube.

30. 4. Lubricate the tube for about 6 – 8 inches with the
thin coat of water soluble jelly
Hold the tube coiled in the right hand to
introduce the tube into the left nostril
5.

33. 8. Have the client take a sips
of water and swallow on
command. Advance the
tube 3 to 4 inches each time
client swallows continue to
advance the tube I reaches
the previously designate
mark.

34. 9. Check the placement of the tube in the stomach.
a) Aspirate gastric content with a syringe.

35. b) Place the end of the tube with a syringe barrel or
funnel into a bowl of water and note the rhythm of
escaping bubbles.
c) Ask the client to speak.

36. d)

37. 10) after the tube is in place , fix it to the side of the
face and wait for some time before giving the feed.

38. 11) Before giving the feed ,
pour some water through the
funnel and lower the funnel.
Slowly , So as to expel the air.
Then give the feed and the
medicines kept ready for the
client. When the feed is
finished, pour a little water
and clamp the tube to prevent
leakage of fluids.
1 2
4
3
Flesh with water
Feeding the client Flesh with water after feeding

39. AFTER CARE OF THE CLIENT AND ARTICLES

40. COMPLICATIONS
• The main complications of NG
tube insertion include aspiration
and tissue trauma. Placement of
the catheter can induce gagging
or vomiting, therefore suction
should always be ready to use
in the case of this happening.
This Photo by Unknown author is licensed under CC BY-NC.

41. CONCULSION
•Nutrition is plays important role for the growth and
development of human being nurse must assess the
nutritional status of every client. Other routes must be
used like nasogastric feeding, orogastric or gastrostomy
feeding to give nutrition.

42. BIBILOGRAPHY
https:/www.slideshare.net/JaysGeorge/nasograstric - tube -
feeding-80785662
http://www.med.uottawa.ca/procedures/ng/
https://www.slideserve.com/stella/nasogastric-intubation
https://geekymedics.com/nasogastric-ng-tube-insertion/
"A TEXT BOOK ON NURSING FOUNDATION FOR BASIC BSC
NURSING" , By Mr B.Venkatesan MSN RN edition 2018 ,
PUBLISHED BY BHAVYA MEDICAL PUBLISHERS , PAGE No: 236
to 242.

43. THANK
YOU