Types of Enteral Tubes
- Nasogastric Tube (NGT)
- Percutaneous Endoscopic Gastrostomy Tube (PEG)
- Jejunostomy Tube
What are some nursing considerations for NG tube feedings?
- Positioning- HOB 30-45 degrees
- Tube Patency- Flush before and after
- Tube Position - Placement check
- Aspiration Risk - HOB elevation/Residual check
- Formula- strength/hang time. Do not dilute with water. May -->diarrhea.
- Administration – pump/gravity (bolus/intermittent) Medication Administration - crush meds well!
- General Considerations:
- --daily weights, glucose checks,
- --change tubing q24 hrs, free water
- --label w/ date/time hung, I&O
- --Gastric residual: check q 4 hrs. for 1st 48 hours then q6-8 hrs for stable patient; q4h critical pts (>200 = gastric intolerance).
What are some complications of NG tube feedings?
- Aspiration: keep HOB 30-45 degrees; hold TF when HOB lowered; check residuals; ambulation; gastric emptying agents, suction for any s/sx aspiration, clear airway!!!!!
- Clogged Tube: crush meds well; flush before and after meds; dilute viscous solutions; use liquid meds if available; follow hospital protocol for unclogging tube
- Displacement of tube
- Infection: assess for SnSs of infection; clean around site q shift with water initially then soap and water.
- Skin irritation
- Thrush: Oral care!!!!!!!