Nasogastric Tube Feeding Definition:: University of Eastern Philippines

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Republic of the Philippines

UNIVERSITY OF EASTERN PHILIPPINES


University Town, Northern Samar

COLLEGE of NURSING and ALLIED HEALTH SCIENCES

NASOGASTRIC TUBE FEEDING

Definition:

 It is the administration of gastrointestinal (enteral) feeding via nose directly into the
stomach with the use of gastric tube.

Purpose:

 To provide feeding
 To aspirate gastric contents
 To administer medications
 To administer supplemental fluids
Equipment:

 Prescribed amount of enteral feeding


 Stethoscope
 Asepto syringe
 Gloves
 30 cc of distilled water for flushing

PROCEDURE RATIONALE
1. Check physician’s order for formula rate,  Tube feedings usually ordered by
route and frequency of feeding. physician.
2. Assess bowel sounds before feeding.  Absence of bowel sound may
indicate decreased ability of
Gastrointestinal Tract (GIT) to digest
food or absorb food nutrients.
3. Assess client regarding discomfort from  For client’s comfort.
tube and determine need of adjustment.
4. Observe tube insertion site for signs of  May indicate need to adjust or
irritation or pressure. remove tube from current site.
5. Explain the procedure to the client.  Well-informed client is more at ease
and cooperative.
6. Wash hands.  For infection control.
7. Prepare tube feeding at room temperature  Cold formula may cause gastric
and other equipment to be used. cramping and discomfort because
the liquid is not warmed by mouth
and esophagus.
8. Assist client to high fowlers position or  Elevated head prevents aspiration.

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elevate head of bed 30 degrees.
9. Check the tube placement and patency by
any of the following:
A. Introduce 5 to 20ML of air into  Presence of gargling sound indicates
Nasogastric tube (NGT) and auscultate at tube in place.
the epigastric area, gargling sound is
heard.  Gastric content is generally cloudy
and greenish in color
B. Aspirate a gastric content which is
yellowish or greenish in color.  Presence of bubbles indicates tube in
the lungs
C. Immerse tip of the tube in the glass of
water; No bubbles should be produced.
10. Infuse feeding
A. Pinch proximal and of the feeding tube.  To prevent air from entering the
stomach.
B. Attach syringe to nasogastric tube (NGT)  Same as above.
and aspirate small amount of contents to
fill tube and lower portion of the tube.
 To assist flow of feeding by gravity.
C. Fill syringe with measured amount of
formula. Released tube and hold syringe
at 12" above the tube point insertion into
the client; refill; repeat until the
prescribed amount has been delivered to
the prescribed amount has been
delivered to the client.
11. Flush 30ML of water into the nasogastric  Water flushes the tube preventing
tube (NGT) after feeding. future blockage of the formula.
12. Clamp the nasogastric tube (NGT) before  To prevent air from entering the
all the water is infused. stomach.
13. Reposition the client to low or semi-  To prevent for potential aspiration of
Fowler's position for at least 30 minutes after feeding.
the feeding.

14. Do after-care of equipment.  To be ready for the next use and to


keep the client unit clean.
15. Wash hands.  For infection control.
16. Document the procedure done.  To maintain an intake record that
serves as basis for the client's
nutritional status.

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