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Nasogastric Feeding
( Gastric Gavage)

Levin Tube is commonly used

NGT

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 Nasogastric Feeding
( Gastric Gavage)

Purpose:
– to provide feeding
– to irrigate stomach ( gastric lavage)
– for decompression
– to administer medications
– to administer supplemental fluids

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 Nasogastric Feeding
( Gastric Gavage)

Inserting NGT
– Inform patient and explain the
purpose of the procedure

– Place in High Fowler's position

– Measure length of NGT to be inserted

( Tip of the nose to the tip of
the ear lobe to the Xiphoid process = 50
cm )

– Lubricate tip college

of of the tube with water
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 Nasogastric Feeding
( Gastric Gavage)
1. Hyperextend the neck, gently advance
the tube toward the nasopharynx.

3. Tilt the patient’s head forward once the

tube reaches the oropharynx(throat)
and ask to swallow.

5. Secure the NGT by taping it to the

bridge of the client’s nose.

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 Nasogastric Feeding
( Gastric Gavage)
1. Assess the tube placement and
patency
– Introduce 5-20 ml of air into NGT and
auscultate at the epigastric area, gurgling
sound is heard.
– Aspirate the gastric content, which is
yellowish or greenish in color
– Immerse tip of the tube in water, no bubble
should be produced
– Measure the pH of aspirate fluid which should
be acidic.
– Ask the client to speak or hum
– Observe the client for coughing and choking
– MOST EFFECTIVE METHOD IS
RADIOGRAPHIC VERIFICATION OF TUBE
PLACEMENT.
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 Administering tube feeding

• Assist the client to a fowler’s position in

bed or sitting position in a chair , or
slightly elevated right side lying position.

• Assess tube placement patency

• Assess residual feeding content

– To assess absorption of the last feeding. If 50 ml or
more verify if the feeding will be given

• Introduce feeding slowly.

1. To prevent flatulence, crampy, pain or reflex
vomiting
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Administering tube feeding
1. Height of feeding is 12 inches
above the tube’s point of insertion
into the client.

2. Instill 60 ml of water into NGT after

feeding.

1. To cleanse the lumen of the tube

4. Clamp the NGT before all of the

water is instilled
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 Administering tube feeding
1. Ask the client to remain fowler’s
position or slightly elevated right
lateral position for at least 30 mins
1. To prevent potential aspiration of feeding
2. Do after-care of equipment

3. Make relevant documentation

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The End

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