Today is our topic of discussion Gastric Gavage.
Gastric Gavage
GASTRIC GAVAGE
Gastric gavage or nasogastric tube feeding is given through tube which is inserted through patient’s nose into stomach,when patient is unable to take food orally. It is the administration of fluid food by means of tube passed into the stomach which is also called gastric gavage.
Purpose
- To provide adequate nutrition
- To give large amounts of fluids for therapeutic purpose
- To assess tolerance of feeds in postoperative patients
- To introduce food into stomach when the patient is not able to take food in the usual manner
- When the condition of mouth or esophagus makeS swallowing difficult.
Indication for Tube Feeding
- Unconscious patient or semiconscious
- After certain surgeries of the mouth and throat
- Patients’ unable to swallow Premature babies
- When the patient is unable to retain the food, e.g. anorexia nervosa and vomiting.
General Instructions
- Give mouthwash frequently to avoid complications of a neglected mouth
- Maintain intake and output chart accurate
- Measure and drain the feed (fluid) to avoid blockage in the tube
- Avoid introducing air into the stomach during each feed. Pinch the tube before the fluid run into the stomach completely forms the tube
- Feeding may be given at intervals of 2, 3, or 4 hours and the amount is not exceeding 150 to 300 mL per feed
- Observe for complications such as nausea, vomiting, .distension, diarrhea,aspiration pneumonia, asphyxia,fever, and water and electrolyte imbalance (Fig. 14.6).
Advantages of Tube Feeding
- An adequate amount of all types of nutrients including distasteful foods and medication can be supplied
- Large amount of fluids can be given safety
- Tube feeding may be continued for weeks without any danger to the patient
- The stomach may be aspirated at any time is desired
- Over loading of the stomach can be prevented by a drip method.
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