NSO Gastric Lavage

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Ateneo de Zamboanga University

Name: Whimzar B. Habibon Week Rotation: 4


Clinical Area: Zamboanga Doctors Hospital RLE Date: August 22, 23, 24, 2022
Gastric Lavage
Procedure
Definition: Gastric lavage flushes the stomach and removes ingested substances through a gastric lavage tube. The
procedure may be used to empty the stomach in preparation for endoscopic examination or after poisoning or a drug
overdose, especially in patients who have central nervous system depression or an inadequate gag reflex.

Purposes: Gastric lavage is an invasive procedure to decontaminate the stomach of patients following an ingested
overdose or poisoning.

Objectives: To decontaminate the stomach


Equipment:
 Large-bore nasogastric tube coated with lubricant gel
 Funnel
 Bucket
 50 mL syringe
Procedures/Steps:
o Introduce yourself to the patient
o Confirm the patient’s name
o Explain the procedure to the patient
o Gain consent
o Assess the patient’s level of consciousness
o Don non-sterile gloves
o Place in left lateral decubitus position if the patient is awake and Intubated patient may lie supine position.
o Insert the nasogastric/orogastric tube into the stomach, then confirm placement.
o Introduce 200 to 300 mL of water at body temperature into the tube and then lower the tube into the bucket below
the level of the stomach before water disappears from the funnel.
o A single dose of activated charcoal (1 g/kg) can be administered into the stomach after completing gastric lavage
as indicated. Exceptions include substances that are not adsorbed by activated charcoal (alcohols, mercury, lead,
or iron).
o Consider administration of repeated doses of activated charcoal (starting from 1 g/kg and followed by 0.5-1 g/kg
every 2-4 hours) in patients who ingested life-threatening doses of quinine, dapsone, phenobarbital,
carbamazepine, or theophylline.
o Thank the patient for cooperating.
o Document the findings

Nursing Responsibilities:
A. Before the procedure
Do not perform the procedure if the patient’s level of consciousness is impaired unless the airway is protected by a
cuffed endotracheal tube.

B. During the procedure


Ensure that the patient’s airway is patent.

C. After the procedure


Ensure that the patient is not having hypothermia, hypoxia, pulmonary aspiration, laryngospasms and mechanical
injury to the gastrointestinal tract.
Illustration:

References:

https://empendium.com/mcmtextbook-sae/chapter/B78.IV.24.15.?rfmcm
https://litfl.com/gastric-lavage/

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