Nasogastric Tube (NGT)
Ø
Gavage (feeding) / Lavage (suctioning)
Ø
Select the nostril that has greater
airflow.
Ø
Assist the client to a high fowler’s
position
Ø
NEX technique (nose-ear-xiphoid)
Ø
Checking the patency:
ü
Aspirate stomach contents and check
the pH, which should be acidic
ü
Introduce 10-30 ml of air into the NGT
and auscultate at the epigastric area, gurgling sound is heard
ü
The most accurate method of assessing
the placement of NGT is X-ray study
Ø
Before feeding assess residual feeding
contents. To assess absorption of the last feeding, if 50 ml or more, verify if
the feeding will be given.
Ø
Height of feeding is 12 inches above
the point of insertion.
Ø
Ask the client to remain in position
for at least 30 min
Ø
Common Problems of Tube Feedings
·
Vomiting
·
Aspiration
·
Diarrhea
·
Hyperglycemia
