Skill 21[1]..Management of Gastrointestinal Suction.pdf

SKILL 21

Management of Gastrointestinal Suction

EQUIPMENT

Source of suction with gauge

Suction tubing

Suction/collection cannister

Double lumen nasogastric tube

Tape

60 cc catheter tip syringe

Gloves, nonsterile

16. Observe nasogastric tube for patency and proper func-

tion and pressure of suction every 2 hours or according

to agency policy. When connected to suction there

should be bubbling or fluid movement in the tube dur-

ing the suction cycle.

17. Observe child for signs and symptoms of malfunctioning

suction or complications.

a. Abdominal discomfort.

b. Nausea or vomiting.

c. Oral or nares discomfort.

d. Leaking from the tubes.

e. Gastric distention.

f. Irritation and/or skin breakdown at site of entry

(nares or mouth).

g. Gastric distress/gastrointestinal (GI) bleeding.

PROCEDURE

1. Check chart for order including type and level of suc-

tion. Determines equipment needed; ensures appropriate

application of gastric suction.

2. Gather equipment. Promotes organization and effi-

ciency.

3. Wash hands. Reduces transmission of microorganisms.

4. Explain procedure to child and family. Enhances cooper-

ation and participation and reduces anxiety and fear.

5. Set up suction source. For wall suction plug regulator

into suction port. For portable suction plug machine

into power source. Provides source of suction.

6. Attach suction tubing and cannister to suction head.

Turn on suction to test functioning of equipment. Turn

suction off. Evaluates functioning of equipment.

7. Position child.

8. Put on nonsterile gloves. Protects nurse from contact

with gastrointestinal fluids.

9. If not already in place, insert nasogastric tube and check

placement using procedure described previously. If

nasogastric tube already in place, remove syringe or

plug from end of tube if present and check placement.

10. Connect nasogastric tube to suction tubing. Tape con-

nection site. Protects integrity of suction.

11. Ensure vent of tubing is opened when suction is

applied. Prevents nasogastric tube from adhering to gas-

tric wall.

12. Turn on suction and set at appropriate level and type,

i.e., intermittent or continuous.

13. If air vent fills with fluid or is leaking, inject air vent

with 5–10 cc air while suction is applied to the suction

drainage.

14. Position tubing to avoid dependent loops. Prevents

decrease in the efficacy of suction.

15. Remove gloves. Wash hands. Reduces transmission of

microorganisms.

NOTE: In absence of documented GI bleed, notify

physician if blood evident in gastric drainage.

DOCUMENTATION

1. Type and pressure of suction.

2. Amount of drainage every shift or more often as needed.

3. Character of drainage every shift or more frequently if

character changes.

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