Professional Documents
Culture Documents
Equipment
Asepto syringe or 20- to 50-ml syringe
Emesis basin
Clean towel
Disposable gavage bag and tubing
Formula
Infusion pump for feeding tube
Water to follow feeding
Nonsterile gloves
ACTION
RATIONALE
1. Review clients medical record.
1. Verifies physicians prescription for
appropriate formula and amount.
2. Gather equipment.
2. Promotes efficiency during procedure.
3. Check clients armband.
3. Verifies correct client.
4. Explain procedure to client.
4. Reduces anxiety and increases client
cooperation.
5. Assemble equipment. If using a bag,
5. Ensures efficiency when initiating
fill with prescribed amount of formula.
feeding.
6. Place client on right side in high
Fowlers position.
7. Wash hands and don non-sterile
gloves.
8. Provide for privacy.
9. Observe for abdominal distention;
auscultate for bowel sounds.
4 hours.
Check residual at least every 8 hours.
formula.
SCORE SHEET
NASOGASTRIC TUBE FEEDING
NAME:
DATE:
ACTION
1. Review clients medical record.
2. Gather equipment.
3. Check clients armband.
4. Explain procedure to client.
5. Assemble equipment. If using a bag, fill with prescribed amount
of formula.
6. Place client on right side in high Fowlers position.
7. Wash hands and don non-sterile gloves.
8. Provide for privacy.
9. Observe for abdominal distention; auscultate for bowel sounds.
10. Check feeding tube: Insert syringe into adapter port, aspirate
stomach contents, and determine amount of gastric residual.
INTERMITTENTGAVAGE FEEDING
CONTINUOUS GAVAGE
Thread tubing through feeding pump and attach distal end of tubing to
feeding tube adapter; keep tubing straight between bag and pump.
Adjust drip rate.
Monitor infusion rate and signs of respiratory distress or diarrhea.
Flush tube with water every 4 hours as prescribed or following administration
of medications.
Replace disposable feeding bag at least every 24 hours, in accord with
agencys protocol.
Turn client every 2 hours.
Provide oral hygiene every 2 to 4 hours.