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nasogastric feeding (33).pptx
- 1. Submitted To Respected Madam SulakaAkter 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
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- 3. DEFINITION Administration of feeddirectly into the stomach through a tube (NG tube) passed into the stomach though the nose (nasogastric).
- 4. PURPOSE OF NASOGASTRICTUBE 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 FEEDINGPROBLEM 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 NasogastricFeeding 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.
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- 8. PROCEDURE OF NASOGASTRICFEEDING 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 youare 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 thefeeding 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 NGfeeding 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.