Nasogastric Intubation and Enternal Feedings
Description of Skill
Nasogastric intubation is the insertion of a nasogastric (NG) tube to manage gastrointestinal (GI) dysfunction and
provide enteral nutrition via the NG tube. Nurses also give enteral feedings through jejunal and gastric tubes.
Indications
Nursing Interventions (pre, intra, post)
- Removal of gas or stomach contents to prevent or - Prepare the formula and a 60 mL syringe.
relieve distention, nausea, and vomiting. - Remove the plunger from the syringe.
- Hold the tubing above the instillation site.
- Decompression to remove gas or stomach contents - Open the stopcock on or pinch the tubing, and insert the barrel of the syringe with the
end up.
- Feeding to provide oral nutrition and medications - Fill the syringe with 40 to 50 mL formula.
and/or supplements - If using a feeding bag, fill the bag with the total amount of formula for one feeding, and
hang it to drain via gravity until empty (about 30 to 45 min).
- Lavage to wash the stomach - If using a syringe, hold it high enough for the formula to empty gradually via gravity.
- Continue to refill the syringe until the amount for the feeding is instilled.
- Compression to apply pressure and prevent - Follow with at least 30 mL water to flush the tube and prevent clogging.
hemorrhage
Outcomes/Evaluation
Client Education
Expected outcomes
- Distention, nausea, or vomiting relieved - Perform oral care every 2 hours while
- The patient takes food by mouth without nausea or patient is awake.
vomiting. - Keep the patient in an upright angle at
- Patient gained 1/2 lb/wk while receiving tube
feedings.
least 30 degrees.
- The patient takes food by mouth without aspiration - Tape the tube to nose, face, or gown.
of stomach contents into the airway. - Administer feeding at room temperature.
- The patient has formed stools.
Evaluation:
Pt comfort, tube functioning properly
Potential Complications Nursing Interventions
- Diarrhea three times or more in a 24-hr - Apply lubricant to the nares as needed.
- Assess the color of the drainage. Report dark, "coffee
period ground," or blood-streaked drainage immediately.
- Nausea or vomiting - Consider switching the tube to the other nares* Rinse the
- Aspiration of formula mouth with water for dryness.
- Throat lozenges may help.
- Excoriation of nares and stomach. - Provide oral hygiene frequently.
- Discomfort; mouth dryness. - Irrigate the tube per facility protocol to unclog blockages.
- Occlusion of the NG tube leading to Use tap water with enteral feedings.
- Have the client change position in case the tube is against
distention. the stomach wall.
- Verify that suction equipment functions properly
ACTIVE LEARNING TEMPLATES Downloaded by Answerdone ()
Description of Skill
Nasogastric intubation is the insertion of a nasogastric (NG) tube to manage gastrointestinal (GI) dysfunction and
provide enteral nutrition via the NG tube. Nurses also give enteral feedings through jejunal and gastric tubes.
Indications
Nursing Interventions (pre, intra, post)
- Removal of gas or stomach contents to prevent or - Prepare the formula and a 60 mL syringe.
relieve distention, nausea, and vomiting. - Remove the plunger from the syringe.
- Hold the tubing above the instillation site.
- Decompression to remove gas or stomach contents - Open the stopcock on or pinch the tubing, and insert the barrel of the syringe with the
end up.
- Feeding to provide oral nutrition and medications - Fill the syringe with 40 to 50 mL formula.
and/or supplements - If using a feeding bag, fill the bag with the total amount of formula for one feeding, and
hang it to drain via gravity until empty (about 30 to 45 min).
- Lavage to wash the stomach - If using a syringe, hold it high enough for the formula to empty gradually via gravity.
- Continue to refill the syringe until the amount for the feeding is instilled.
- Compression to apply pressure and prevent - Follow with at least 30 mL water to flush the tube and prevent clogging.
hemorrhage
Outcomes/Evaluation
Client Education
Expected outcomes
- Distention, nausea, or vomiting relieved - Perform oral care every 2 hours while
- The patient takes food by mouth without nausea or patient is awake.
vomiting. - Keep the patient in an upright angle at
- Patient gained 1/2 lb/wk while receiving tube
feedings.
least 30 degrees.
- The patient takes food by mouth without aspiration - Tape the tube to nose, face, or gown.
of stomach contents into the airway. - Administer feeding at room temperature.
- The patient has formed stools.
Evaluation:
Pt comfort, tube functioning properly
Potential Complications Nursing Interventions
- Diarrhea three times or more in a 24-hr - Apply lubricant to the nares as needed.
- Assess the color of the drainage. Report dark, "coffee
period ground," or blood-streaked drainage immediately.
- Nausea or vomiting - Consider switching the tube to the other nares* Rinse the
- Aspiration of formula mouth with water for dryness.
- Throat lozenges may help.
- Excoriation of nares and stomach. - Provide oral hygiene frequently.
- Discomfort; mouth dryness. - Irrigate the tube per facility protocol to unclog blockages.
- Occlusion of the NG tube leading to Use tap water with enteral feedings.
- Have the client change position in case the tube is against
distention. the stomach wall.
- Verify that suction equipment functions properly
ACTIVE LEARNING TEMPLATES Downloaded by Answerdone ()
