Mrs. Elizabeth M. Tuliao R.N.

, MAN

 Gastric

Gavage - Nasogastric Feeding Gastric Lavage- to irrigate stomach Levin Tube- commonly used NGT

 To

provide feeding To irrigate stomach For decompression To administer medications To administer supplemental fluids

Inform the pt and explain purpose of the procedure. Place in high fowlers position. Measure length of NGT to be inserted from tip of the nose to the tip of ear lobe to the xiphoid process approximately 50 cm. Lubricate tip of the tube with water soluble lubricant. Hyperextend the neck, gently advance the tube toward the nasopharynx. Tilt the patients head forward once the reaches the oropharynx throat and ask to swallow. Secure the NGT by taping it to the bridge of the clients nose.

Assist client to a Fowlers position in bed or sitting position in a chair or slightly elevated right side lying position. Assess tube placement and patency -introduce 5-20 ml of air into NGT and auscultate at the epigastric area gurgling sound is heard. - aspirate gastric content, a yellowish/greenish in color - immerse tip of the tube in water, no bubbles produced -ask the client to speak or hum -observe the client for coughing and choking. The most effective method is radiographic verification of tube placement.

Assess residual feeding contents. To assess absorption of the last feeding if 50 ml or more. Verify if the feeding will be given. Introduce feeding slowly to prevent flatulence, crampy pain or reflex vomiting. Height of feeding is 12 inches above the tubes point of insertion into client. Instill 60 ml of water into NGT after feeding to cleanse the lumen of the tube. Clamp the NGT before all the water is instilled. Ask client to remain in fowlers position for at least 30 mins to prevent aspiration. Do after care. Do relevant documentation.