Gastric Gavage is a means of supplying nutritional substance via a small plastic tube direct to the stomach. This post will help you understand on how to perform feeding via gastric gavage.
Objective of Gastric Gavage
- To provide a means of alimentation when the oral route is inaccessible.
Indications of Gastric Gavage
- Gastrointestinal diseases and surgery
- Hypermetabolic states (burns,multiple trauma,sepsis,cancer)
- Certain neurologic disorders (stroke and coma)
- Following certain types of surgery (head and neck, esophagus)
Contraindication of Gastric Gavage
- Absent bowel sounds
After Care of Gastric Gavage
- Wash or let the significant other of the patient do the washing of the materials used in feeding.
- Keep all the materials used in its proper place.
- Refrigerae the osterized feeding.
Charting of Gastric Gavage
- Describe and record procedure
- Time of feeding
- Type of Gavage feeding
- Type and amount of fluid given
- Amount retained or vomited
- Patient’s reaction to the procedure.
Nursing Alert: Tube feedings are contraindicated to patients without bowel sounds. Administration of feeding solution to an improperly placed tube may cause aspiration into the lungs.
Equipment Needed for Gastric Gavage
- Feeding fomula
- Calibrated drinking glass
- Acepto syringe
- Medicine glass with tap water
Gastric Gavage Nursing Interventions & Rationale
|Explain procedure to client.||Facilitates cooperation and provides reassurance for client.|
|Assemble equipment. Check amount, concentration, type and frequency tube feeding on client’s chart.||Provide for organized approached to task. Ensures the correct feeding will be administered.|
|Wash your hands.||Handwashing deters the spread of microorganisms.|
|Position client with the head of bead elevated at least 30 degrees angel or as near normal position for eating as possible.||Minimize possibility of aspiration into trachea.|
|Unpin tube from client’s gown and check to see that the gastric tube is properly located in the stomach.||Even when initially positioned correctly, a gastric tube left in place can become dislodged between feedings. The instillation of water or nourishment could lead to serious respiratory problems if a gastric tube is in the trachea or a bronchus, rather than in a stomach.|
|Aspirate all gastric contents with syringe and measure. Return immediately through tube and proceed with feeding if amount of residual does not exceed policy of agency or physician’s guidelines. Disconnect syringe from tubing.||This indicate gastric emptying time. A residual of more than 50% of the previous hour’s intake is significant and must be reported to physician. Fluid should be returned to stomach so as not to cause any fluid or electrolytes losses.|
|When using Asepto sringe or Toomey syringe:
|When using a feeding bag:
|When using pre-filled tube feeding set-up:
|Observe client’s response during and after tube feeding.||Pain may indicate stomach distention which may lead to vomiting.|
|Have client remain in upright position for at least 30 minutes after feeding.||This position minimizes risk of backflow and discourage aspiration should any vomiting occurs.|
|Wash and clean equipment or replace according to agency policy. Wash your hands.||Prevents contamination and deters spread of microorganisms.|
|Record type and amount of feeding and client’s response. Monitor urine or blood glucose if ordered by physician.||Provides accurate documentation or procedure. Many feedings contain high loads of carbohydrates.|