The document provides a lesson plan on nasogastric feeding, which includes defining nasogastric feeding as administering feed directly into the stomach through a nose tube, describing the purpose and common problems of nasogastric tube feeding, and outlining the step-by-step procedure for nasogastric feeding and administering medications through the tube. Potential complications of nasogastric feeding discussed include aspiration, nausea and vomiting, and diarrhea.

1. Submitted To
Respected Madam
Sulaka Akter
Associate vice principal
North East Nursing
College
Submitted By
Name : Suhena Begum
Roll : 33
4th year B.Sc in Nursing
Session : 2016-2017
North East Nursing College
South Surma, Sylhet
North East Nursing College
Lesson plan
On
Nasogastric Feeding

2. NASOGASTRIC FEEDING

3. DEFINITION
Administration of feed directly into the stomach
through a tube (NG tube) passed into the stomach
though the nose (nasogastric).

4. PURPOSE OF NASOGASTRIC TUBE
FEEDING
 To provide adequate nourishment to patient who
cannot feed themselves.
 To provide fluid.
 To administer medication.
 To provide nourishment to patient who cannot
feed through mouth. Example : Surgery in oral
cavity.
 When the patient is unconscious.

5. COMMON TUBE FEEDING PROBLEM
1. Diarrhoea.
2. Nausea and Vomiting.
3. Aspiration.
4. Constipation.
5. Elevated blood sugar.
6. Weight loss.
7. Elevated electrolytes.
8. Dry oral and nasal mucus membrane.
9. Middle ear inflammation.
10.Plugged feeding tube.
11.Dumping syndrome.

6. Before a Nasogastric Feeding
You are required to feed the patient based on the feeding
schedule please take note of the time, types of oral
nutrition supplement and amount needed.
You will need to prepare the following :
 Oral nutrition supplement as prescribed.
 50 ml syringe.
 A jug of water.
 pH strips and small bowl.
 Small cups.
 Measuring tubes.
 Medication if any.
 The feeding schedule.

7. EQUIPMENTS

8. PROCEDURE OF NASOGASTRIC FEEDING
Step 1: Wash your hands with soap and water.
Step 2: Prop the patient up to at least 30 degrees.
Step 3: Check the feeding tube placement.
 Ask the patient to open his mouth and check the back of the
throat. This is to make sure that the tube is not coiled.
 The feeding tube should be secured firmly to the nose and
check with a tape.
 To check if the feeding tube is in the stomach withdraw some
gastric content with the syringe.
 If you are unable to obtain gastric content, lie the patient on
their left side. Inject 10-20 mls of air into the tube and make
another attempt to withdraw gastric content.

9. CONTINUE…
 If you are still unable to obtain gastric content. Please wait for 15-
30 minutes and try again.
 Read gastric content pH level is below or equal to 5. He/She is
ready to feed.
Step 4: Feeding of oral nutrition supplement.
 Feeding of oral nutrition supplement, check the feeding schedule,
prepare the correct amount and oral nutrition supplement
prescribed.
 Prevent air entry into the stomach by kinking the feeding tube
before connecting the syringe. Flush the tube with 20 ml of water
or as per prescribed.
 Feed according to the feeding schedule position syringe slightly
above the head. Ensure the syringe is not empty during feeding.
This is to minimize stomach discomfort due to excess air entry.

10. CONTINUE….
 Complete the feeding by flushing 20 mls of water on as
per prescribed and close the feeding part with a stopper.
Step 5: Feeding medication.
 Ensure right medication is being prepared.
 Crush the medication finely on dissolve the pills in
lukewarm water, connect the syringe without the plunger
to the kinked feeding tube.
 Before feeding tube medication flush the feeding with 20
ml of water or as per prescribed pour medication into the
syringe.
 After administering the medication remember to flush the
feeding tube with 20 ml of water or as per prescribed.
Step 6: Complete the end of feeding. The patient should
remain seated for at least 1 hour to prevent gastric reflux.

12. Complications of NG feeding
1. Aspiration
 Due to feed regurgitation.
 Incorrect tube placement.
2. Nausea and Vomiting
 Due to rapid feeding.
 Poor gastric emptying.
3. Diarrhoea
 Gut infection.
 Lactose intolerance.

13. Reference
 MedlinePlus (.gov)https://medlineplus.gov › ency
› pat...Nasogastric feeding tube : MedlinePlus
Medical Encyclopedia
 Healthlinehttps://www.healthline.com ›
healthNasogastric Intubation and Feeding
 Nasogastric (NG) Tube Feeding – Adults Minnesota
 Lecture sheet.