OROGASTRIC FEEDING - Sterile water

- Doctor’s Responsibility Lavage:

- Nursing Responsibility
- PNSS (flushing) – isotonic solution have
1. Gastric Gavage – give nutrition or
medicine directly into their stomach the same osmotic pressure as cell
2. Gastric Lavage – cleansing out the Procedure:
contents in the stomach
3. Prepare the materials 1. Communicate to the mother
2. Explain & maintain privacy
Indications: 3. Assemble things needed (offer gloves to the
doctor)
1. Swallowing and sucking problems
- Premature baby 4. Position the baby 20 to 40 degrees angle
- Less than 37 weeks AOG - To prevent aspiration and to facilitate
- Less than 2.5 to 3.5 kg insertion
5. Put the blanket or towel
2. Birth defects
- Cannot tolerate breastfeed or bottled - Prevent soiling
6. Hand washing
feed milk
- Cleft palate (break in continuity of 7. Put on the sterile gloves
- Remove the bacteria and prevent
palate)
- Gastric problems contamination
8. Measure the tube from the lips to earlobe
- Failure to thrive (failed to develop)
3. Cardiopulmonary problems to xiphoid process
9. Put on the lubricating jelly to the tube
Feeding ways: 10. The doctor will insert the tube
11. Put the end of the tube to the kidney basin
- NGT 12. Open the port
- PEG 13. Put on the syringe
- TPN 14. Get your stethoscope and place it in the
Materials: stomach
15. Introduce air and listen to the whooshing
- Kidney basin sound
- Sterile gloves ( 7 or 8) 16. Aspirate the gastric content (should be
- Lubricant yellowish in color)
- Feeding tube ( 5F – less than 200 g ; 6F 17. Kink the tube
– more than 200g) - to prevent milk from flowing out and
- 5 cc syringe remove excess air
- Scissor 18. Remove the plunger
- Plaster ( anchor the tube) 19. Do the feeding (1cc of milk)
20. Slowly release
Gavage:
21. Kink the tube
- Milk
 - to prevent milk from flowing out and
remove excess air
22. Do the cleaning (1 cc of sterile water)
23. Slowly release
24. Remove the syringe
25. Close the port
26. Let the baby burp

Lavage:

- Introduce 1 cc of PNSS for cleansing

- Aspirate using the plunger
- Remove the plunger
- Close the port