Nasogastric Tube Feeding

Nasogastric Tube Feeding

Nasogastric Tube Feeding

Purpose:
1. Be sure that the NGT is patent and the
end of the NGT is in the stomach before
introducing any feeding and or
administering medication.
Considerations':
Considerations:
Considerations:
 Considerations:
B. Tablets, pills and
other hard solid
medications should
be pulverized well to
ensure easy passage
thru the NGT.
 Considerations:
C. Soft capsules
maybe opened
or punctured and
squeezed in
order to get the
content.
 Considerations
5. Feeding to be given
by drip method need
not to be warmed as it
will approximate room
temperature while it
passes thru the tubing.
NGT Feeding Using a
Feeding Pump
 Considerations

6.Give the feeding

slowly. Allow to
flow in by gravity.
Considerations

7. Prevent air
from entering
the NGT.
Considerations

8. Stop the
feeding when
the patient
coughs or
has a hiccough.
Equipment
Equipment
 FEEDING FORMULA PRESCRIBED
Equipment
Equipment
Equipment
Equipment
Equipment
Equipment
Equipment
30 – 60 mL of Water
Preparation
Preparation
Preparation

2. Place the
glass with
formula into
a bowl of hot
water.
Preparation

3. Check
temperature of
formula by dropping
a small amount over
the dorsum of the
hand.
Preparation

4. Arrange all
needed equipment
on a tray and bring
to the patient’s
bedside.
Nursing
Implementation
Nursing Implementation
1. Introduce self and
verify client’s
identity.
Explain the
procedure why is it
necessary and
how the patient
can cooperate.
Nursing Implementation

2. Perform hand
hygiene and
observe other
appropriate infection
control procedures.
Nursing Implementation

3. Provide client’s
privacy.

Place patient on
moderate backrest.
Nursing Implementation

4.Put protective
towel or napkin
over the patient’s
chest.
 Nursing Implementation
5. Assess the placement
of the tube:
A. Unclamp NGT. Attach
tip of the syringe to the
free end of the NGT and
aspirate gastric
contents.
 Nursing Implementation
B. Auscultate over the left
upper quadrant for bowel
sounds before each feeding
by placing the diaphragm /bell
of the stethoscope over the
patient’s epigastrium and
listen to the gurgling sound
as slight pressure is applied
at the bulb of the asepto
syringe.
Nursing Implementation
6. Assess abdominal
distention and tenderness
and for residual feeding
contents. If for follow
up feeding, aspirate the
gastric contents and
measures the amount
before administering the
feeding.
Nursing Implementation
7. Return aspirated
contents to the stomach
unless volume exceeds
100ml.
Maintain client in semi-
fowler’s position and
recheck residual in an hour
or it depends on the
physicians order.
Nursing Implementation
7. Return Rationale:
aspirated To prevent
contents to the ELECTROLYTES
stomach unless IMBALANCE
volume exceeds
100ml.
Nursing Implementation

8. Kink the tube and

remove the bulb of
asepto syringe and
pour 30 mL of water.
Nursing Implementation

8. Kink the tube and

remove the bulb of
asepto syringe and
pour the formula
into the barrel.
Nursing Implementation

9. Release the
kink on the tube
and allow formula
to flow in by
gravity.
 Nursing Implementation
10. Keep the barrel of
the asepto syringe
about 8-12 inches above
the patient.
Raise the barrel a little
higher or apply gently
pressure on the bulb
of the syringe,
If formula fails to flow
freely.
Nursing Implementation
11. Ask if the patient is
comfortable while infusion
is flowing.

Assess for the presence

of fullness, abdominal
cramping, nausea,
vomiting, and diarrhea as
these indicates distention
of the intestines.
Nursing Implementation

12. Flush the NGT

with 30-60 cc of
water once the
prescribed amount
of formula is
consumed.
Nursing Implementation

13.Pinch or kink
the tube before
it becomes
completely empty
and detach the
asepto syringe.
Nursing Implementation

14. Plug the end of

the NGT with its
own cover. If
none, clamp may
be used instead.
Nursing Implementation
15. Keep or maintain
the patient position in
moderate backrest for
another 30mins or
more preferably,
turned to the right .
 Nursing Implementation

16. Remove
the towel.
 Nursing Implementation
17.Clean and keep
the equipment
used.
Perform hand
hygiene.
Nursing Implementation
18. Documents the type
and amount of formula
given and any untoward
reaction of the patient
during and after the
procedure. Observe for
possible complications
and problems.
DEFINITION
 PURPOSES
1. To obtain a specimen of gastric contents for
diagnostic purpose.
2. To remove harmful substances swallowed
accidentally or deliberately.
3. To cleanse the stomach before endoscopic
procedures.
Equipment
Nursing Implementation
DOCUMENT THE FOLLOWING
DOCUMENT THE FOLLOWING
 Contraindications
 Lavage is contraindicated when patients have a
compromised, unprotected airway and in patients at risk of
gastrointestinal hemorrhage or perforation.
 Relative contraindications include when the poisoning is due
to a corrosive substance (strong acids or strong bases),
hydrocarbons, or for poisons that have an effective antidote.
 It is also contraindicated in case of aluminum
phosphide poisoning.
 Complications
 Many complications have been reported, although it appears
serious complications are uncommon.
 The most dangerous risk is aspiration pneumonia, which is
more likely to occur if hydrocarbons are ingested in patients
without a protected airway.
 Other complications include:
laryngospasm, hypoxia, bradycardia, epistaxis, 
hyponatremia, hypochloremia, water intoxication, or
mechanical injury to the stomach.