Page 87 - Demonstrating skill coppysaved colored-converted

10. If the residual is over 50-100 ml in adults and 10 ml or more infants, hold the feeding
until residual diminishes or subtract the withdrawn amount from the total feeding and
administer the rest. All these are based on the policy agency.
11. Reinstall the gastric contents to the stomach to prevent electrolyte imbalance.
12. Before the feeding solution has drained from the neck of the bottle, instill 50-60 ml of
water through the tube, to prevent tube feeding syndrome and further blockage.
13. Remove air from the feeding tubes and attach it to the nasogastric tubes and to prevent air
from entering the stomach, never allow the syringe or the gavage bag to empty.
14. Hang the bottle on IV stand beside the patient and run the food through the giving set or
if a syringe is to be used remove the plunger from the barrel of the syringe and attack
barrel to the nasogastric tube.
15. Deliver feeding over the desired length of time (as ordered). Usually, 200-350 ml of over
10-15 minutes is given.
16. Replace any formula administered by an open system every 4 hours with fresh formula.
The formula should be at room temperature or cool (not cold).
17. After the administration of the appropriate amount of food, flush the tube by adding
about 60ml of water to the syringe. This maintains the patency of the tube by removing
excess food particles that could block the tube.
18. If you are administering a continuous feeding, flush the tube every 4hours to help prevent
tube occlusion.
19. To discontinue the NG tube feeding disconnect the syringe from the feeding tube.
20. Close the tip of the NG tube with its plug cap before all of the rinse solutions have run
through to prevent leakage and contamination.
21. Leave the patient in a semi-sitting position of slightly elevated right lateral position for at
least 30minutes.
22. Communicate with your patient.
23. Clean and return used equipment.
24. Wash your hand
25. Record the amount given and the patient’s general condition.

Complications
Diarrhea – due to hyperosmolar feeding, rapid infusion, bacteria-contaminated feedings,
lactase deficiency, and food allergies, etc.
Nausea/ vomiting- due to Change in the rate of feeding, offensive smell, inadequate
gastric emptying.
Cramping/ gas- due to air in the tube.
Constipation- high milk content, low fiber intake, inadequate fluid intake.
Aspiration pneumonia- due to improper tube placement, flat in the bed, too large tube,
etc.
Tube displacement- due to excessive coughing/ vomiting, tracheal suctioning, etc.
73