Fundamentals in Nursing Practice (RLE)
Summer Term
A.Y. 2022 - 2023
NCM 103: SCD 6
Enteral Feeding
Delivers nourishment through a tube
directly into the Gastrointestinal Tract (GI
Tract)
Process of feeding or drinking that
doesn't perform chewing or swallowing,
instead the food and nutrients will be
directed into the stomach.
Gastrointestinal tract:
These
organs
include
the
mouth,
pharynx (throat), esophagus, stomach,
small intestine, large intestine, rectum,
and anus
The organs that food and liquids travel
through
when
they
are
swallowed,
digested, absorbed, and leave the body as
feces.
Flushing:
The purpose of flushing is to check
for tube patency and prevent clogging
of enteral tubes.
Venting:
Specific Indication
Prolonged Anorexia
Coma or Depressed Sensorium
Inability to take oral keeping
Critical illness causing metabolic stress
Severe protein energy under nutrition
Liver failure
To release air in the stomach
Used to facilitate decompression of
the stomach from the accumulation of
air during such interventions as High
Flow Nasal Prongs, Non-Invasive or
Invasive Ventilation.
Peristalsis:
A
Nasogastric Tube
A thin tube that goes through the patient's
series
of
wave-like
muscle
contractions that move food through
the digestive tract.
nose down to the throat and stomach.
It can be used for all feedings or for
giving a person extra calories.
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Advisable:
Nasojejunostomy
delivering
-
feeds
a
method
through
of
jejunal
access in the small bowel.
Radiologically (PEG):
Percutaneous
Endoscopic
Gastrostomy (PEG) - A tube inserted
through the wall or skin of the
abdomen directly into the stomach.
Insertion of nasogastric tube through
5 Ways in Nasogastric Tube
the guide of x-ray.
1. Auscultation - sounds may be transmitted
Percutaneous (PEG):
to the epigastrium whether the tube is
A camera or endoscope will be used to
positioned
in
check the internal of the stomach.
stomach,
duodenum,
the
lung,
or
esophagus,
proximal
jejunum
Suctioning:
- Borborygmi sound (stomach growling)
An
aspirating
secretion
machine
through a catheter, connected to a
should be heard
suctions machine or wall suction
2. Aspiration - nasogastric aspiration is the
process of feeding a nasogastric tube into
the stomach of a patient and draining the
stomach contents by suction.
outlet.
Performed when the patient is unable
to effectively move secretions from
the respiratory tract.
Endotracheal, Oral and Nasal
3. pH Testing - by testing the acidity of the
fluid that comes from it using pH strips. A
Complications
pH reading below 5 is safe.
Hypoxemia - low level of oxygen in
4. Immersion
-
the
engagement
of
Nasogastric tube to the patient through
insertion.
5. X-ray - a chest X-ray can be used to help
determine tube position.
- Best way to check the nasogastric tube but
costly.
blood.
Trauma to the Airway - obstruction
caused by blood, secretions, debris
and vomitus
Nosocomial Infection - infection that
could be taken in hospital area
Cardiac Dysrhythmia - problem in the
rhythm of the heart
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Hyperventilation - a hyper oxygenation
before and after suctioning
Nebulizer - used for respiratory disease
Thick Secretion - Phlegm
Atelectasis
-
partial
or
complete
collapse of lung
Stridor - sound of obstructed airflow
when inhaling.
Wheezes - sound of obstructed airflow
when exhaling
NGT - medication oral, enteral feeding,
enteral medication, gastric laboratory
Decompression - prevention aspiration
pneumonia
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