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Gastric Gavage Feeding

Gastric Gavage is a media of supplying nutritional matter via a little ductile tube straightforward to the stomach. This support earn acceleration you know on how to complete sustentation via gastric gavage.
Objective of Gastric Gavage
  • To collect a media of alimentation when the verbal way is settled.
Indications of Gastric Gavage
  • Gastrointestinal diseases and surgery
  • Hypermetabolic states (burns,multiple trauma,sepsis,cancer)
  • Certain neurologic disorders (pat and coma)
  • Following unfailing devises of surgery (topic and neck, esophagus)
Contraindication of Gastric Gavage
  • Absent bowel sounds
After Care of Gastric Gavage
  • Wash or let the indicative other of the enduring do the washing of the materials used in sustentation.
  • Keep all the materials used in its equitable establish.
  • Refrigerae the osterized sustentation.
Charting of Gastric Gavage
  • Describe and returnsings progress
  • Time of sustentation
  • Type of Gavage sustentation
  • Type and aggregate of liquescent given
  • Amount retained or vomited
  • Patient’s reaction to the progress.
Nursing Alert: Tube sustentations are contraindicated to endurings externally bowel sounds. Government of sustentation answer to an imjustly establishd tube may producer desire into the lungs.
Equipment Needed for Gastric Gavage
  • Feeding fomula
  • Calibrated drinking glass
  • Bowl
  • Acepto syringe
  • Medicine glass succeeding a opportunity tap infiltrate
Gastric Gavage Nursing Interventions & Rationale
Nursing Interventions Rationale
 Explain progress to client.  Facilitates friendship and collects reassurance for client.
 Assemble equipment. Stop aggregate, force, devise and quantity tube sustentation on client’s chart.  Provide for arranged approached to business. Ensures the redevise sustentation earn be administered.
 Wash your hands.  Handwashing deters the propagate of microorganisms.
 Position client succeeding a opportunity the topic of compose strong at lowest 30 degrees seraph or as nigh usual pose for eating as likely.  Minimize possibility of desire into trachea.
 Unpin tube from client’s gown and stop to see that the gastric tube is equitablely located in the stomach.  Even when initially poseed reformly, a gastric tube left in establish can behove dislodged among sustentations. The instillation of infiltblame or regalement could bring to solemn respiratory problems if a gastric tube is in the trachea or a bronchus, rather than in a stomach.
 Aspiblame all gastric contents succeeding a opportunity syringe and value. Return succeeding a opportunityout-delay through tube and returns succeeding a opportunity sustentation if aggregate of residual does not achieve cunning of influence or physician’s guidelines. Disconnect syringe from tubing.  This mark gastric vacuitying spell. A residual of more than 50% of the prior hour’s intake is indicative and must be reputed to physician. Liquescent should be returned to stomach so as not to producer any liquescent or electrolytes losses.
When using Asepto sringe or Toomey syringe:
  1. Remove plunger or bulb from syringe and attract syringe to nasogastric tube which has been cramped succeeding a opportunity finger and begin the prescribed aggregate unwillingly.
  2. Hold the syringe closely 12 inches aloft the stomach. Suffer answer to run in by priggishness. Raise the syringe to acception the blame of course, and inferior the syringe to curtail the blame of course.
  3. Do not let the syringe vacuity opportunity introducing the regalement.
  4. Introduce 30ml – 60mL (1 oz – 2 oz) of infiltblame into the tube succeeding the regalement is begind.
  5. Clamp the gastric tube succeeding a opportunityout-delay succeeding regalement and infiltblame are instilled. Disconnect the syringe and shelter end of tubing succeeding a opportunity gauze impregnable succeeding a opportunity rubber bond.
  1.  The syringe acts to accept the regalement. Introducing the regalement unwillingly gives the stomach spell to settle the liquescent and curtails gastrointestinal pain.
  2. Nourishment enters the stomach by priggishness when gastric gavage is used.
  3. This technique prevents air from being unyielding into the stomach when the syringe is refilled.
  4. Washing the gastric tube succeeding a opportunity infiltblame forces fostering regalement in the tube into the stomach and prevents regalement from adhering to the tube and souring.
  5. Clamping the tube prevents regalement from draining tail into the tube and air from entering the stomach. Shelter on end of the tube deters initiation of microorganisms and protects client and linens devise any liquescent leakage from tube.
When using a sustentation bag:
  1. Hang bag on IV pole and appoint to encircling 12 inches aloft the stomach. Clamp tubing and inculcate deviseula into the bag. Release clamp sufficient to suffer deviseula to run through tubing. Close clamp.
  2. Attach tubing to nasogastric tube, disclosed clamp and methodize drop according to physician’s methodize.
  3. Add 30 ml – 60 ml (1 oz – 2 oz) of infiltblame to sustentation bag when sustentation is almost completed and suffer to run through tube.
  4. Clamp the tubing succeeding a opportunityout-delay succeeding infiltblame has been instilled. Disconnect from nasogastric tube and shelter gauze impregnable succeeding a opportunity a rubber bad.
  1. Formula displaces air in the tubing
  2. Introducing the deviseula at a lingering, stated blame suffer the stomach to settle the sustentation and curtails gastrointestinal pain.
  3. Water purge the sustentation from the tube and accelerations to adhere-to it ambiguous.
  4. Clamping the tube prevents air from entering the stomach. Shelter on end of nasogastric tube deters initiation of microorganisms and protects client and linens from any liquescent leakage from tube.
When using pre-filled tube sustentation institute:
  1. Remove screw-on cap and attract government institute succeeding a opportunity drop room and tubing. Hang set on IV pole and appoint to encircling 12 inches aloft the stomach. Clamp tubing and distress drop room to gorge one-third to one-half of faculty. Release clamp and run deviseula through tubing. Close clamp.
  2. Follow steps 8b and 8d. Sustentation cross-examine may be used succeeding a opportunity the tube sustentation institute to methodize drop.
  1.  Formula displaces air in tubing.
 Observe client’s rejoinder during and succeeding tube sustentation.   Pain may mark stomach distention which may bring to vomiting.
 Have client halt in honorable pose for at lowest 30 minutes succeeding sustentation.  This pose minimizes miss of tailcourse and brow-bent desire should any vomiting occurs.
Wash and cleansedsed equipment or reestablish according to influence cunning. Wash your hands. Prevents stain and deters propagate of microorganisms.
Record devise and aggregate of sustentation and client’s rejoinder. Monitor urine or order glucose if methodizeed by physician. Provides accublame documentation or progress. Many sustentations include excellent loads of carbohydrates.

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