NG Tube

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Wolkite University

College of Medicine and Health sciences


Department of Nursing
Type of procedure: a Nasal- gastric Tube Feeding
Name of student______________________________ ID No: _______________

2= completely performed 1= partially performed 0= not Performed

S/No Procedure steps 2 1 0 Remarks


1. Explain the procedure to the patient, provide privacy
2. Perform hand hygiene and put on disposable gloves if available
3. Position the client with the head of the bed elevated at least 30 degree
angle to 45 degree angle
4. If NG tube is not in place follow the NG tube insertion procedure and
insert the tube and secure it.
5. Confirm correct placement of the tube
6. Cover the patient’s chest with the towel to protect him/her from spills of
food.
7. Aspirate stomach contents to determine amount of residual and measure
it if the residual is over 50-100 ml in adults and 10 ml or more infants,
hold the feeding until residual diminishes or subtract the withdrawn
amount from the total feeding and administer the rest.
8. Reinstall the gastric contents to the stomach to prevent electrolyte
imbalance.
9. Before the feeding solution has drained from the neck of the bottle,
instil 50-60 ml of water through the tube, to prevent tube feeding
syndrome and further blockage.
10. Remove air from the feeding tubes and attach it to the nasogastric tubes
11. Hang bottle on IV stand beside patient and run the food through the
giving set or if a syringe is to be used remove plunger from barrel of
syringe and attack barrel to nasogastric tube.
12. Deliver feeding over the desired length of time (as ordered). Usually
200- 350 ml Over 10-15 minutes is given.
13. After the administration of the appropriate amount of food, flush the
tube by adding about 60ml of water to the syringe.
14. Discontinue the NG tube feeding disconnect the syringe from the
feeding tube.
15. Close the tip of the NG tube with its plug cap
16. Leave the patient in semi sitting position of slightly elevated right lateral
position for at least 30minutes.
17. Communicate with your patient.
18. Clean and return used equipment.
19. Wash your hand
20. Record the amount given and the patient’s general condition.
Wolkite University
College of Medicine and Health sciences
Department of Nursing
Type of procedure: Gastric Lavage
Name of student______________________________ ID No: _______________

2= completely performed 1= partially performed 0= not Performed

S/ Procedure steps 2 1 0 Remarks


No
1. Explain the procedure to the patient
2. Perform hand hygiene
3. Assemble the necessary equipment.
4. Keep patient privacy and position the patient
5. Protect client and bed linen with towel and rubber sheet
6. Done single use examination glove
7. Pass NG tube if the tube is not in place
8. Assess the correct placement by aspirating stomach
contents, or by listening gosh of air while the client
exhales.
9. Once you confirm proper placement of the tube, begin
gastric lavage by instilling about 250ml of irrigating
solution to assess the patient’s tolerance and prevent
vomiting.
10. Fill the small jug with water/ solution, measure and pour
gently until the funnel is empty.
11. Take specimen, if required, and continue the process until
the returned fluid becomes clear and the prescribed
solution had been used.
12. Instruct the client to take deep breath and hold it to close
epiglottis
13. Monitor patient’s vital signs, urine output, and level of
consciousness every 15 minutes and notify the physician
for any changes.
14. Give mouth wash
15. If ordered, gently remove the tube, feel the client’s tube,
and watch the respiration
16. Remove glove, hand wash, Clean or discard used
equipment.
17. Comfort the patient
18. Record the procedure, including the time, date, type of
irrigating solution and the amount of

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