PROCEDURE : NASOGASTRIC TUBE FEEDING

PURPOSE : Administer liquidized diet.

REQUIREMENT

1) Gauze / Tissue paper.

2) Warm liquidized diet as prescribed.
3) Syringe – 20ml and 50ml.
4) Container with drinking water.
5) Kidney dish.
6) Gallipot – 1 with tap and 1 with litmus paper.
7) Stethoscope.
8) Micropore
9) Scissors.
10)Protective sheet.

STEPS

1. Greet patient and explain procedure.

2. Provide privacy.
3. Position patient in Fowler’s / Semi-Fowler’s.
4. Place protective sheet at patient’s chest.
5. Test location of NG tube:
-Pinch NG tube to connect with 20ml syringe.
-Inject 20ml air while listening with stethoscope for “GUSH
SOUND” at epigastric area.
-Aspirate gastric content and test for acidity.
-Pinch tube to remove syringe and dip tip of NG tube into tap
water to check presence of bubble.
6. Administer feed:
-Connect 50ml syringe without plunger and hold up at eye level.
-Pour in 30-50ml clear water.
-Observe patient.
-Pour liquidized diet.
 -Flush tube with 30-50ml clear water.
-Observe patient. Clamp if patient hiccup.
7. Pinch tube to remove syringe.
8. Close tube with adopter / spigot.
9. Make patient comfortable. Change plaster if needed.
10.Clean and clear equipments.
11. Record date, time and amount fluid given. Report abnormalities.

NURSING RESPONSIBILITIES

1. Ensure procedure is carried out on correct client and correct site.

2. Maintained comfortable the patient throughout procedure in
Fowler’s position.
3. Perform procedure in a correct manner. Confirm NG tube
placement prior to feeding, makesure no air enters.
4. Observe patient’s general condition during and after feeding –
any difficulty in breathing.
5. Check for dislodgement of tube after feeding.
6. Recort and report findings.