Gastric Lavage

 
Gastric lavage also commonly

called stomach wash or
gastric suction, is the process
of cleaning out the contents
of the stomach. It has been
used for eliminating poisons
from the stomach.
Remove unabsorbed poison after
ingestion.
Diagnosis and stop gastric hemorrhage.
Clean stomach before diagnostic
procedures. (ENDOSCOPIC
PROCEDURE)
Remove liquid or small particles of
material from stomach.
With patient has ingested poison.
Collecting stomach acid for tests.
Cleaning the stomach before and
upper endoscopy in someone who
has been vomiting blood
Relieving pressure in someone with
a blockage in the. intestines.
 1.Loss of airway protectivereflexes, such as
in a patient with adepressed state of
consciousness.
 2.Ingestion of a corrosive substance such as
a strong acid or alkali.
 3.Ingestion of a hydrocarbon with high
aspiration potential.
 4.Patients who are at risk of hemorrhage or
gastrointestinal perforation.
 1.Gastric lavage involves the passage of a
tube via the mouth or nose down into the
stomach, followed by sequential
administration and removal of small volumes
of liquid.
 2.The placement of the tube in the stomach
must be confirmed either by air insufflation
while listening to the stomach, by pH testing
a small amount of aspirated stomach
contents, or x-ray. This is to ensure the tube
is not in the lungs.
3.Lavage is repeated until the
returning fluid shows no further
gastric contents.
4. If the patient is unconscious or
cannot protect their airway then the
patient should be intubated before
performing lavage.
 1.Aspiration pneumonia.
While taking the unwanted poison and drugs out of
the stomach (lavage), the substances might
accidentally enter the respiratory canal, into the lungs
and cause aspiration pneumonia.
2.Laryngospasm.
Uncontrolled and involuntary muscle contraction
(spasm) of the larynx cord.
3.Hypoxia and hypercapnia.
Lack of oxygen in the body tissues.
4.Bradycardia Pulse
is slow and lower than normal.
5.SOB
Patient might experience dyspnea due to a
tube inserted through the oropharynx that can
obstruct the patient airway, which cause low
oxygen supply.
6.Mechanical injury to the throat, esophagus,
and stomach.
 1)Nasogastric insertion equipments.
 2)Lavage fluid – Nacl or other prescribed solution.
 3)Syringe 20ml for aspiration and 50ml for lavage.
 4)Specimen container with lab request form.
 5)Kidney dish as receiver.
 6)Measuring jug.
 7)Protective sheet.
 8)Clinical waste.9)Domestic waste.
1.VerifyDr’s order.
2.Assest patient level of conciousness.
3.Greet patient and explain procedure.
4.Provide privacy.
5.Remove dental appliances and
inspect oral cavity for loose teeth.
6.Position patient in Semi-Fowler’s.
 7.InsertNG tube as per procedure handout.
 8.Check placement of tube in stomach ( 3 times
check).
 9.Aspirate stomach contents before instilling water
or antidote. Keep specimen in container for
analysis.
 10.Remove 20ml syringe and attach with
50ml syringe to pour lavage solution into NG tube
or attach with 50ml syringe barrel.
 11.Pour or inject slowly 20ml solution and wait for
1 minute.
12.Aspirate (if use syringe) or siphon
(if use barrel) gastric contents and
discard it in kidney dish.
13.Save samples of first two washings.
14.Record input and output throughout
procedures.
15.Repeat step 10-14 until returns
are clear. Usually requires a total
volume of 2 liters.
16.Remove NG tube as per
procedure handout.
17.Make patient comfortable.
18.Label specimens and despatch
to lab immediately.
19.Clean and clear equipments.
20.Record and report findings.
1. Ensure procedure is carried out
on correct client at correct site.
2. Assess patient’s level of conciousness.
3. Ensure patient’s comfort is maintained
throughout procedure.–Fowler’s
position.
4. Perform procedure in a correct
manner. Use appropriate solution.
1. Monitor vital sign for pre, intra and
post procedure.
2. Monitor input and output.
3. Send labeled specimens
in appropriate container with lab
request form.
4. Record and report findings.

Gastric Lavage

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 

Gastric lavage also commonly

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