Skill 23[1]..Nasogastric Tube Lavage.pdf

SKILL 23

Nasogastric Tube Lavage

EQUIPMENT

60 cc catheter tip syringe

Warmed NS for irrigation (body temperature)

Emesis basin

Towels

Gloves, nonsterile

16. Remove gloves. Wash hands. Reduces transmission of

microorganisms.

DOCUMENTATION

1. Time, type, and amount of solution used.

2. Character and amount of returned fluid.

3. Child’s response to the procedure and how tolerated.

PROCEDURE

1. Check for physician’s order to obtain type and amount

of irrigation solution and length of time of irrigation.

2. Gather equipment. Promotes organization and effi-

ciency.

3. Wash hands. Reduces transmission of microorganisms.

4. Prepare child and family for procedure. Enhances coop-

eration and participation and reduces anxiety and fear.

5. Position child in high Fowlers position or on left side

with head elevated 15°.

6. Put on nonsterile gloves. Protects nurse from contact

with gastrointestinal fluids.

7. Insert nasogastric tube and check placement per proce-

dure as described under Insertion of a Nasogastric

Tube.

8. Attach syringe to NG tube and pull back on the plunger

to aspirate stomach contents. Aspirate contents until

there is no more continual return. Empties stomach

before beginning lavage.

9. Fill the syringe with the prescribed solution and slowly

inject it into the stomach. The volume of each infusion

should be about 20 cc. Minimizes child’s discomfort and

reduces risk of vomiting.

10. Pull back on plunger of syringe to aspirate lavage solu-

tion via the nasogastric tube. Discard in emesis basin.

11. Monitor amount of solution infused and amount

removed. Verifies good return of lavage solution and

permits monitoring of intake and output.

12. Repeat process until results are clear or the prescribed

amount of fluid has been delivered.

13. During the procedure monitor the child for airway

patency, cramping, nausea and vomiting, comfort level,

and obstructions in the tube. Promotes the safety of the

child.

14. Remove nasogastric tube, attach to suction, or clamp as

ordered.

15. Dispose of equipment and returned irrigation solution

in appropriate containers. Follows prescribed precau-

tions.

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