Nasogastric Tube Feeding: A Step-by-Step Guide for Caregivers162


Nasogastric (NG) tube feeding is a common method of delivering nutrition to individuals who are unable to eat or drink safely by mouth. It involves passing a thin, flexible tube through the nose, down the esophagus, and into the stomach. NG tube feeding provides essential nutrients and fluids directly to the patient's stomach, promoting well-being and recovery.

Materials Required:* Nasogastric tube (size and length determined by the patient's needs)
* Water
* Lubricating jelly
* Syringe or infusion pump
* Liquid nutrition formula or blended food
* Measuring cup and graduated cylinder
* Stethoscope
* Suction apparatus (optional)

Step-by-Step Instructions:

1. Prepare the Patient:


* Explain the procedure to the patient and answer any questions they have.
* Position the patient in a semi-Fowler's position (head elevated 30-45 degrees).
* Assess the patient's tolerance to nasal passage by aspirating the nose with a suction catheter.

2. Lubricate and Insert the Tube:


* Apply lubricating jelly to the distal end of the tube (about 5-10 cm).
* Gently insert the tube into one of the patient's nostrils, guiding it along the nasal cavity.
* Advance the tube smoothly while listening for air entry into the stomach using a stethoscope.
* When the desired length is reached (usually at the 45-55 cm mark from the tip of the nose to the earlobe), secure the tube with tape to the patient's nose.

3. Verify Placement:


* Aspirate gastric contents to confirm correct placement. If gastric contents are not retrieved, administer 10-20 ml of water through the tube and reassess.
* Check the pH of the aspirate to ensure it is acidic (pH

2025-01-10


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