NASOGASTRIC FEEDING
OR
GAVAGE FEEDING
Dr. JayeshPatidar
www.drjayeshpatidar.blogspot.com
9/17/2014
2
www.drjayeshpatidar.blogspot.com
DEFINITION
9/17/2014
3
www.drjayeshpatidar.blogspot.com
Gavage feeding is an artificial method of giving fluids and nutrients. This is a process of feeding with the tube (Nasogas...
9/17/2014
5
www.drjayeshpatidar.blogspot.com
PURPOSES
AND
INDICATIONS
9/17/2014
6
www.drjayeshpatidar.blogspot.com
To feed the children who are unable to take feed orally.
Feed the children who are undergoing oral surgery like -cleft li...
9/17/2014
8
www.drjayeshpatidar.blogspot.com
When patient is unconscious or semiconscious
When the condition is not supportive to take large amount of food orally e.g...
ADVANTAGES
OF
NASOGASTRIC FEEDING
9/17/2014
10
www.drjayeshpatidar.blogspot.com
All types of nutrients including distasteful foods and medications can be given in adequate amount.
Without any danger, f...
According to need, stomach can be aspirated at any time.
Large amount of fluids can be given with safety.
9/17/2014
12 ...
PRINCIPALS
INVOLVED
IN
GASTRIC GAVAGE
9/17/2014
13
www.drjayeshpatidar.blogspot.com
Tube feeding is a process of giving liquid nutrients or medications through a tube into the stomach when the oral intake i...
Micro-organisms enter the body through food and drink.
Introduction of the tube into the mouth or nostrils is a frighteni...
9/17/2014
16
www.drjayeshpatidar.blogspot.com
Systematic ways of working adds to the comfort and safety of the client and help in the economy of material. Time and ener...
POLICY
9/17/2014
18
www.drjayeshpatidar.blogspot.com
6 frfeeding tube is used for infants <1000 grams.
6 fror # 8 frfeeding tube are used for infants> 1000 grams.
Never forc...
If possible, the infant should be held in semi-up-right
position during the feeding; if not possible, position infant on ...
ARTICLES NEEDED
9/17/2014
21
www.drjayeshpatidar.blogspot.com
Mackintosh with towel
9/17/2014
22
www.drjayeshpatidar.blogspot.com
Kidney tray for receiving the waste
9/17/2014
23
www.drjayeshpatidar.blogspot.com
Cotton tipped" applicators to clean the nostrils.
9/17/2014
24
www.drjayeshpatidar.blogspot.com
Ryle's tube in a bowel.
9/17/2014
25
www.drjayeshpatidar.blogspot.com
Lubricant such as water soluble jelly or glycerin to prevent friction
9/17/2014
26
www.drjayeshpatidar.blogspot.com
Gauze pieces to clean the secretions
9/17/2014
27
www.drjayeshpatidar.blogspot.com
Scissors and adhesive plaster or tape
9/17/2014
28
www.drjayeshpatidar.blogspot.com
Measuring cup or glass/ounces glass.
9/17/2014
29
www.drjayeshpatidar.blogspot.com
Sterile syringe, about 10-20 ml
9/17/2014
30
www.drjayeshpatidar.blogspot.com
Paper bag-to collect the wastes.
Glass of feed in a bowel of warm water to give the feed at the body temperature.
Tongue...
PROCEDURE
9/17/2014
32
www.drjayeshpatidar.blogspot.com
Identify the patient.
Explain the procedure to the patient.
Maintain privacy.
Make the patient in comfortable position....
Keep the kidney tray ready for receiving the vomit, if occur.
Remove the dentures and place in a bowl of clean water.
Cl...
Check the patency of the tube.
Measure the length of the tube by measuring it from the tip of the nose to ear lobe and fr...
Now insert the tube with the right hand into the left nostril slowly
9/17/2014
36
www.drjayeshpatidar.blogspot.com
Pass the tube slowly backwards and downwards. When the tube reaches at pharynx, give patient sips of water and swallow, wh...
Examine the mouth of patient with tongue blade and light source
9/17/2014
38
www.drjayeshpatidar.blogspot.com
After this secure the tube with the adhesive tape at the nasal bridge.
After some time give some water to expel the air. ...
9/17/2014
40
www.drjayeshpatidar.blogspot.com
When the feeding is completed, pour a little amount of water and clamp the tube firmly to prevent leakage of fluids
When ...
Provide oral hygiene every 4 to 6 hours to prevent infections
9/17/2014
42
www.drjayeshpatidar.blogspot.com
Dispose the waste materials and clean the articles properly and replace them.
Do the hand washing.
Recording and reporti...
AFTER CARE
OFTHE
CLIENT
AND
ARTICLES
9/17/2014
44
www.drjayeshpatidar.blogspot.com
Offer a mouth wash. Clean the face and hands and dry them
Remove the mackintosh and towel
Make the client comfortable in...
Take all articles to the utility room. Discard the waste and clean the articles with soap and water. Dry them. Replace the...
9/17/2014
47
www.drjayeshpatidar.blogspot.com
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Nasogastric feeding or gavage feeding

Published on: Mar 3, 2016
Published in: Education      
Source: www.slideshare.net


Transcripts - Nasogastric feeding or gavage feeding

  • 1. NASOGASTRIC FEEDING OR GAVAGE FEEDING Dr. JayeshPatidar www.drjayeshpatidar.blogspot.com
  • 2. 9/17/2014 2 www.drjayeshpatidar.blogspot.com
  • 3. DEFINITION 9/17/2014 3 www.drjayeshpatidar.blogspot.com
  • 4. Gavage feeding is an artificial method of giving fluids and nutrients. This is a process of feeding with the tube (Nasogastric tube) inserted through the nose, pharynx, and esophagus and into the stomach. 9/17/2014 4 www.drjayeshpatidar.blogspot.com
  • 5. 9/17/2014 5 www.drjayeshpatidar.blogspot.com
  • 6. PURPOSES AND INDICATIONS 9/17/2014 6 www.drjayeshpatidar.blogspot.com
  • 7. To feed the children who are unable to take feed orally. Feed the children who are undergoing oral surgery like -cleft lip or cleft palate, fracture of jaw, and in condition of difficulty in swallowing. 9/17/2014 7 www.drjayeshpatidar.blogspot.com
  • 8. 9/17/2014 8 www.drjayeshpatidar.blogspot.com
  • 9. When patient is unconscious or semiconscious When the condition is not supportive to take large amount of food orally e.g.- severe burns, malnutrition, prematurity, acute and chronic infections. Conditions when the patient is unable to retain the food e.g. anorexia nervosa and vomiting. 9/17/2014 9 www.drjayeshpatidar.blogspot.com
  • 10. ADVANTAGES OF NASOGASTRIC FEEDING 9/17/2014 10 www.drjayeshpatidar.blogspot.com
  • 11. All types of nutrients including distasteful foods and medications can be given in adequate amount. Without any danger, feeding can be continued for weeks. 9/17/2014 11 www.drjayeshpatidar.blogspot.com
  • 12. According to need, stomach can be aspirated at any time. Large amount of fluids can be given with safety. 9/17/2014 12 www.drjayeshpatidar.blogspot.com
  • 13. PRINCIPALS INVOLVED IN GASTRIC GAVAGE 9/17/2014 13 www.drjayeshpatidar.blogspot.com
  • 14. Tube feeding is a process of giving liquid nutrients or medications through a tube into the stomach when the oral intake is inadequate or impossible. A thorough knowledge of the anatomy and physiology of the digestive tract and respiratory tract. Ensures safe induction of the tube (avoid misplacement of the tube). 9/17/2014 14 www.drjayeshpatidar.blogspot.com
  • 15. Micro-organisms enter the body through food and drink. Introduction of the tube into the mouth or nostrils is a frightening situation and the client will resist every attempt. Mental and physical preparation of the client facilitates introduction of the tube. 9/17/2014 15 www.drjayeshpatidar.blogspot.com
  • 16. 9/17/2014 16 www.drjayeshpatidar.blogspot.com
  • 17. Systematic ways of working adds to the comfort and safety of the client and help in the economy of material. Time and energy 9/17/2014 17 www.drjayeshpatidar.blogspot.com
  • 18. POLICY 9/17/2014 18 www.drjayeshpatidar.blogspot.com
  • 19. 6 frfeeding tube is used for infants <1000 grams. 6 fror # 8 frfeeding tube are used for infants> 1000 grams. Never force the feeding under pressure. 9/17/2014 19 www.drjayeshpatidar.blogspot.com
  • 20. If possible, the infant should be held in semi-up-right position during the feeding; if not possible, position infant on right side or prone as this will facilitate gastric emptying. If respiratory rate >70, check with physician about withholding feeding. 9/17/2014 20 www.drjayeshpatidar.blogspot.com
  • 21. ARTICLES NEEDED 9/17/2014 21 www.drjayeshpatidar.blogspot.com
  • 22. Mackintosh with towel 9/17/2014 22 www.drjayeshpatidar.blogspot.com
  • 23. Kidney tray for receiving the waste 9/17/2014 23 www.drjayeshpatidar.blogspot.com
  • 24. Cotton tipped" applicators to clean the nostrils. 9/17/2014 24 www.drjayeshpatidar.blogspot.com
  • 25. Ryle's tube in a bowel. 9/17/2014 25 www.drjayeshpatidar.blogspot.com
  • 26. Lubricant such as water soluble jelly or glycerin to prevent friction 9/17/2014 26 www.drjayeshpatidar.blogspot.com
  • 27. Gauze pieces to clean the secretions 9/17/2014 27 www.drjayeshpatidar.blogspot.com
  • 28. Scissors and adhesive plaster or tape 9/17/2014 28 www.drjayeshpatidar.blogspot.com
  • 29. Measuring cup or glass/ounces glass. 9/17/2014 29 www.drjayeshpatidar.blogspot.com
  • 30. Sterile syringe, about 10-20 ml 9/17/2014 30 www.drjayeshpatidar.blogspot.com
  • 31. Paper bag-to collect the wastes. Glass of feed in a bowel of warm water to give the feed at the body temperature. Tongue blade. Suction apparatus -to clear the airway, whenever need. Bowel with water -to test the location of tube. Clamp -to clamp the tube to prevent leakage of gastric contents 9/17/2014 31 www.drjayeshpatidar.blogspot.com
  • 32. PROCEDURE 9/17/2014 32 www.drjayeshpatidar.blogspot.com
  • 33. Identify the patient. Explain the procedure to the patient. Maintain privacy. Make the patient in comfortable position. Make the patient sit on chair or place him in fowlers position. Arrange the meckintoshand face towel across the chest and put under the chin to protect the garments and bed linens. 9/17/2014 33 www.drjayeshpatidar.blogspot.com
  • 34. Keep the kidney tray ready for receiving the vomit, if occur. Remove the dentures and place in a bowl of clean water. Clean the nostrils with cotton applicators, if secretions are deposited. Arrange all articles near the bed side or on the bed side looker. Do the hand washing properly. 9/17/2014 34 www.drjayeshpatidar.blogspot.com
  • 35. Check the patency of the tube. Measure the length of the tube by measuring it from the tip of the nose to ear lobe and from ear lobe to the tip of the xiphoidprocess of the sternum. Wear the hand gloves. Lubricate the tube with glycerine-or jelly by the piece of gauze. It is start from tip to the 6 to 8 inches long. 9/17/2014 35 www.drjayeshpatidar.blogspot.com
  • 36. Now insert the tube with the right hand into the left nostril slowly 9/17/2014 36 www.drjayeshpatidar.blogspot.com
  • 37. Pass the tube slowly backwards and downwards. When the tube reaches at pharynx, give patient sips of water and swallow, while swallow insert the tube about 3-4 inches each time. When it reaches completely till the mark stop to insert. Now confirm the placement of tube by aspirating the gastric contents with the syringe. Other method is to place the tube end in a bowl of water and check the bubbles. If bubbles are present it indicates position in trachea. 9/17/2014 37 www.drjayeshpatidar.blogspot.com
  • 38. Examine the mouth of patient with tongue blade and light source 9/17/2014 38 www.drjayeshpatidar.blogspot.com
  • 39. After this secure the tube with the adhesive tape at the nasal bridge. After some time give some water to expel the air. Give the feed with feeding syringe or funnel. Give feed slowly; do not push the feeding solution with plunger. 9/17/2014 39 www.drjayeshpatidar.blogspot.com
  • 40. 9/17/2014 40 www.drjayeshpatidar.blogspot.com
  • 41. When the feeding is completed, pour a little amount of water and clamp the tube firmly to prevent leakage of fluids When any obstruction occurs while feeding, remove the funnel and take a syringe with sterile water. Push the water slowly, and draw it back from gastric contents. When fluid starts to enter, connect the feeding funnel with tube 9/17/2014 41 www.drjayeshpatidar.blogspot.com
  • 42. Provide oral hygiene every 4 to 6 hours to prevent infections 9/17/2014 42 www.drjayeshpatidar.blogspot.com
  • 43. Dispose the waste materials and clean the articles properly and replace them. Do the hand washing. Recording and reporting 9/17/2014 43 www.drjayeshpatidar.blogspot.com
  • 44. AFTER CARE OFTHE CLIENT AND ARTICLES 9/17/2014 44 www.drjayeshpatidar.blogspot.com
  • 45. Offer a mouth wash. Clean the face and hands and dry them Remove the mackintosh and towel Make the client comfortable in bed In case of unconscious or seriously illclients, apply suction if secretions are collected in the mouth 9/17/2014 45 www.drjayeshpatidar.blogspot.com
  • 46. Take all articles to the utility room. Discard the waste and clean the articles with soap and water. Dry them. Replace them into their proper places Wash hands Record the time, date, amount of feed, the nature of the feed, the reaction of the client if any, in the nurses record as well as in the intake and output chart Remove the tube when the tube feeding is to be stopped 9/17/2014 46 www.drjayeshpatidar.blogspot.com
  • 47. 9/17/2014 47 www.drjayeshpatidar.blogspot.com