Insert a nasogastric tube and feed your child with these instructions. may need to wrap your baby in a blanket to keep his arms down during the procedure. A nasogastric (NG) tube is a flexible plastic tube inserted through the nostrils, down the nasopharynx, and into the stomach or the upper portion of the small. Jump to Procedures - Explain the procedure to the patient and show equipment This procedure is very uncomfortable for many patients, so a squirt of.
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- Enteral feeding and medication administration
- The Procedure
- Please confirm
This procedure is very uncomfortable for many patients, so a squirt of Xylocaine jelly in the nostril, and a spray of Xylocaine to the back of the throat will help alleviate the discomfort. Pass tube via either nare posteriorly, past the pharynx into the esophagus and then ngt feeding procedure stomach.
The Procedure Before tube feeding can begin, the tube has to be placed. The procedure for the feeding tube placement depends on the type of tube that has been recommended by the healthcare team.
The Procedure - Tube Feeding
You can find more information about the types of feeding tubes here. These tubes are more visible than a gastrostomy or a jejunostomy and their placement may cause some discomfort.
The NG tube is placed through the nose, down the oesophagus and into the stomach, whereas the NJ tube is placed through the nose, down the oesophagus, through the stomach ngt feeding procedure into the small intestine jejunum. On occasion, the NJ tube may be placed using x-rays.
The position of the NG and NJ tube must be confirmed before tube feeding can commence.
Starting feeding varies greatly, however you will be kept informed by the healthcare team. This will allow fluid to accumulate in the stomach and try aspirating again. If it is safe to do so and the child is able to tolerate oral intake consider providing them with a ngt feeding procedure and attempt aspirate in minutes If no aspirate obtained, advance the tube ngt feeding procedure cm and try aspirating again If aspirate not obtained discuss with senior nursing staff or medical staff and consider removing the tube or checking position by x-ray.
Gastrostomy tube Correct placement of the tube should be confirmed prior to administration of an enteral feed by checking insertion site at the abdominal wall and observing the child for abdominal pain or discomfort.
Clinical Guidelines (Nursing) : Enteral feeding and medication administration
Ngt feeding procedure the nurse is unsure regarding the position of the gastrostomy or jejunostomy tube contact the medical team immediately. The position of the tube needs ngt feeding procedure be checked 4 hourly with change of feeds It is recommended that the feed be ceased, withdraw aspirate and test pH.
If reading greater than 5, cease the feed for 30 minutes, aspirate and test pH Should there be any dispute as to the position of the tube, do not recommence feeds.
Discuss with senior nursing staff or medical staff.
Nasogastric Intubation and Feeding
The following needs to be checked 2 hourly during the feed: Taping Observe child for signs of respiratory distress. Check infusion hourly and document intake. Management Flushing enteral tubes The purpose of flushing is ngt feeding procedure check for tube patency and prevent clogging of enteral tubes.
Flushing is not routine on the Neonatal unit and flushing with air is the preferred method. Enteral feeding tubes should be flushed regularly with water or sterile water if appropriate: Prior to and after feeding Prior to, in-between and after medications Regularly in between tube use Modify ngt feeding procedure volumes throughout as needed for infants and children with fluid restrictions — these patients ngt feeding procedure require minimal volume 0.
Nasogastric Tube Insertion
However in shorter tubes 1. Venting Ngt feeding procedure tubes may be used to facilitate venting or decompression of the stomach from the accumulation of air during such interventions as High Flow Nasal Prongs, Non-Invasive or Invasive Ventilation. Feeds Feeds can be administered via syringe, gravity feeding set or feeding pump.
The method selected is dependent of the nature of the feed and clinical status of the child.