PATIENT FEEDING

By: Nelson Munthali Dip/RNDate: 15th March, 2013

Nasal gastric feeding

ObjectivesDefine nasal gastric feedingExplain the objective of N. G feedingExplain the indication of N.G feedingList the equipment used in N.G feedingExplain how to feed patient through N.G

tube.

This is administration of nutritional feeds through nasal gastric tube

ObjectivesTo provide nutrition to patients who cannot

swallow.IndicationPatients with esophageal obstructionPost surgery patientsPatients with decreased level of consciousnessPatients with extra caloric needs

EquipmentLiquid food, feeding syringe 20 or 50ccWarm water, measuring cup, litmus

paperGloves, kidney dish, screenTowel to cover patient chestReceiver.

Patient preparationExplain the procedure to patient.Screen the bed for privacyPlace patient in sitting positionEquipment preparationCheck that the tube is in place.Verify feed by checking physician’s orderCheck the food if warm.Keep the tube clamped when not in use.

Procedure1. Wash hands2. Remove the clamps3. Draw 30mls of warm water in a syringe and

inject into the tube slowly to ensure patency

4. Re-clamp the tube by pinching with the non dominant hand.

5. Draw the feed in the syringe and slowly push it down.

6. Raising the syringe will increase the flow rate.

7. Observe the feed, do not allow it to empty to prevent air entry.

8. Once the feed is finished clamp the tube

9. Draw 30mls of warm water unclamp the tube and flush to rinse the tube. And prevent clogging.

10. Re clamp the tube and leave the patient in a comfortable position

11. Discard gloves and wash hands.After procedureRecord amount of feed taken.Decontaminate feeding syringe in 0.5%

chlorine wash in soapy water and rinse.