NGT Feeding: by Group 2

NGT FEEDING
By GROUP 2
Definition
The Nasogastric tube (NGT) is
a tube that is passed through
the nose and down through
the nasopharynx and
esophagus into the stomach
Purpose/ Indication

•To improve or maintain the
nutritional status
•To administer prescribed medication

PRINCIPLES
1.Elevate the head of the bed 30-90 degrees
before feeding and leave it up for 30-60
minutes after the feeding.
2.Keep the head of the bed elevated at least 30

degrees at all times if the patient is receiving
continuous feeding.
3.Assess bowel sounds at least once in 8 hours.

PRINCIPLES
4. Assess abdomen for distension
5. Check the tube position within the GI

tract before each feeding is started or
at least once each shift.
PRINCIPLES
6.Check for gastric residual by

aspirating via the gastric tube
before each intermittent feeding
or at least every 4 hours if the
client is receiving continuous
feeding.
Equipment
MEDICINE TICKET
Equipment
ASEPTO SYRINGE
Equipment
MORTAL AND PESTLE

Equipment
MEDICINE GLASS
Equipment
TOUNGE DEPRESSOR
Equipment
DRINKING WATER
Equipment
PRESCRIBED FEEDING
ASSESSMENT
1. Clinical signs of malnutrition or
dehydration
2. Allergies and lactose intolerant
3. Bowel sounds
ASSESSMENT
1. Clinical signs of malnutrition or
dehydration
2. Allergies and lactose intolerant
3. Bowel sounds
PROCEDURES
1. Check the physician’s order for It ensures that correct feeding will
medication/feeding. be administered.
2. Wash your hands then assemble Handwashing prevents the spread of

equipment. microorganisms.
3. Identify and explain the procedure Proper identification of client prevents

to the client. medication error.
4. Provide privacy for this procedure Tube feedings are embarrassing to

if the client desires it. some people.
PROCEDURES
5. Assess signs and symptoms It can be an indication to delay
that would suggest lack of feeding or providing other
tolerance in the previous management such as giving
feeding prokinetic agents.
6. Raise the bed to working height. It prevents the nurse to have back
pain, promoting proper body
mechanics.
7. Elevate the client’s head 30 This position enhances the

degrees gravitation flow of the solution and
prevents the possibility of aspiration
into the lungs.
PROCEDURES
8. Pinch off the tube and Pinching or clamping the
remove the plug, cap or tube prevents excess air
clamp and attach the from entering the tubing and
aspeto syringe. causing distention.
9. Apply clean gloves. To prevent contact of client’s

body fluid to the nurse
PROCEDURES
10.Check the placement of
the NGT using either of
the following techniques:

a. Aspirate a small Obtaining gastric or
amount of (5-10 mL) of intestinal contents is the
gastric contents into a best evidence of proper
syringe. Return the tube placement. Returning
residual contents to the the contents to the stomach
stomach. prevents fluid and
electrolyte imbalance.
PROCEDURES
b. Place the A whooshing, gurgling
diaphragm of the or bubbling sound is
stethoscope just heard while
below the xiphoid auscultating the
process. epigastrium or left
upper abdominal
quadrant.
PROCEDURES
11.Administer the drug This gives the stomach
through a syringe time to accommodate the
barrel or aspeto fluid and decreases GI
syringe connected to distress.
the tubing.
PROCEDURES
11. Administer the drug This gives the stomach time to
through a syringe barrel or accommodate the fluid and
aspeto syringe connected decreases GI distress.
to the tubing.
12. Follow medication with Irrigation clears the drug from

small amount of liquid: the sides of the tube reducing
• 2-5 mL for newborns the risk of clogging
• 20-25 mL for children
• 30-50 mL for adults
PROCEDURES
13. Administer the drug To facilitate down-flow of
through a syringe barrel or medication into the stomach and
aspeto syringe connected prevent reflux into the
to the tubing. esophagus
14. Do the aftercare of Promotes an environment

equipment and wash hands. conducive for client’s comfort;
prevents the spread of
microorganisms.
PROCEDURES
15. Document the procedure done Proper documentation prevents
including pertinent medication error.
observations.
DOCUMENTATION
200 cc of Isocal feeding given via NGT.

Checked for residual prior to feeding. 25 cc
gastric content is aspirated and reinstilled.
Abdomen soft, bowel sounds present in all
quadrants. Tolerated feeding without
evidence of discomfort. Head of bed
maintained at 30 degree angle.

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NGT FEEDING

•To administer prescribed medication

2.Keep the head of the bed elevated at least 30

3.Assess bowel sounds at least once in 8 hours.

4. Assess abdomen for distension

5. Check the tube position within the GI

6.Check for gastric residual by

MORTAL AND PESTLE

2. Allergies and lactose intolerant

2. Allergies and lactose intolerant

2. Wash your hands then assemble Handwashing prevents the spread of

3. Identify and explain the procedure Proper identification of client prevents

4. Provide privacy for this procedure Tube feedings are embarrassing to

7. Elevate the client’s head 30 This position enhances the

9. Apply clean gloves. To prevent contact of client’s

12. Follow medication with Irrigation clears the drug from

14. Do the aftercare of Promotes an environment

15. Document the procedure done Proper documentation prevents

including pertinent medication error.

200 cc of Isocal feeding given via NGT.

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