Name: Date:

Batch:

ADMINISTERING NASOGATRIC FEEDING

Purposes of NGT:
1. To restore or maintain nutritional status or to administer medication ( GAVAGE)
2. To establish a means for suctioning stomach contents to prevent gastric distention, nausea
and vomiting ( LAVAGE)
3. To remove gastric distention (DECOMPPRESION)

Procedure:

__1. Prepare all the needed equipments for the procedure

__2. Identify the patient properly.

__3. Assist the client to a Fowler’s position in bed or sitting position in a chair, the normal position for
eating. If sitting is contraindicated, slightly elevated right side lying position is acceptable. These positions
enhance the gravitational flow of the solution and prevent aspiration of fluid in the lungs.

__4. Explain to the client what you are going to do, why is it necessary and how can she or he cooperate.
Inform the client that the feeding should not cause any discomfort but may cause a feeling of fullness.

__5. Wash hands and observe appropriate infection control procedure

__6. Provide privacy as the client desires. NGT is embarrassing to some clients

__7. Assess tube placement and patency.

 Attach the syringe to open end of the tube and aspirate alimentary secretions. Check pH
 Listen for the gurgling sound
 Confirm thru x-ray

__8. Assess residual feeding contents. Aspirate the contents and measure the amount before administering
the feeding. This is done to evaluate absorption of the last feeding ;

__9. if 100ml or more than half of the last feeding is withdrawn, check with the nurse in charge or refer to
the institution’s policy

__10. Administer the feeding. Before administering:

a. Check the expiration date of the feeding
b. Warm the feeding to room temperature. An excessive cold feeding may cause cramps .
 c. Remove the plunger from the syringe and connect the syringe to a pinched or clamped nasogastric
tube. Pinching or clamping the tube prevents excess air from entering the stomach and causing
distention.
d. Add the feeding to the syringe barrel. Permit the feeding to flow in slowly. Raise or lower the
syringe to adjust the flow as needed. Pinch or clamp the tubing to stop the flow for a minute if the
client experiences discomfort. Quickly administered feedings can cause flatus, cramps or reflux.

__11. Rinse the feeding tube immediately before all of the formula has run through the tubing.
a. Instill 50 – 100ml of water through the feeding tube.
b. Be sure to add water before the feeding solution has drained from the neck of the syringe.

___12. Clamp and cover the feeding tube. Clamping prevents leakage and air from entering the tube if
done before water is instilled.

__13. Ensure the client comfort and safety. This minimizes pulling of the tube, thus preventing discomfort
and dislodgement

__14. Ask the client to remain in sitting position or n slight elevated right lateral position for 30 minutes.
This position facilitates digestion and movement of the feeding from the stomach

__15. Dispose equipment appropriately.

___16. document relevant information. Including the feeding, including amount and kind of solution

___17. Monitor client’s possible problems.

Sig.__________________
Clinician

Date: