Nasogastric Tube Feeding

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Nasogastric Tube Feeding

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

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