Nasogastic tube. Out line . Define the nasogastric tube Discuss the types of nasogastric tube . List the purpose of using the nasogastric tube Discuss insertion nasogastric tube Discuss removing nasogastric tube Discuss administering a tube feeding Discuss Irrigating Nasogastric Tube
stomach, keeps it empty
Keeps the suction force at the drainage openings at less that 25 mm Hg to prevent capillary irritation.
Connected to low continuous suction.
Vent lumen kept above the client’s waist.
begin. May take up to 24 hrs.
into the intestines.
to facilitate passage
Stop when client breathes.
If gagging and coughing persist, check placement of tube with tongue blade and flash light.
Keep advancing tube until tape marking is reached.
Do not use force, rotate tube if it meets resistance.
Discontinue procedure and remove tube if there are signs of distress, such as gasping, coughing, cyanosis, and inability to speak or hum.
at least 30 minutes to 1 hour after feeding.
Record type and amount of feeding, residual amount ,and client's response, monitor blood glucose level, if ordered by physician.
Hold syringe upright and gently insert the irrigate or allow solution to flow in by gravity.
Do not force solution into tube.
If unable to irrigate tube, reposition patient and attempt irrigation again.
Withdraw or aspirate fluid into syringe.
If no return, inject 10 to 20 cc of air and aspirate again.
Measure and record amount and description of irrigant and returned solution.
Remove equipment& gloves.
Instruct client to take a deep breath and hold it.
Clamp tube with fingers by doubling tube on itself.
Quickly and carefully remove tube while client holds breath.
Dispose of tube.
Remove gloves and place in bag.
Clean and dry face, nose and mouth.
Remove all equipment and dispose of according to agency policy.& Wash hands.
The administration of complete and balanced nutrition by intravenous infusion in order to support anabolism, body weight maintenance or gain, and nitrogen balance, when oral or enteral nutrition are not feasible or are inadequate
Decision to institute specialnutrition support
Functional GI Tract
GI function return
Normal Diet------------------- TPN