‘Nasogastric tubes and Enternal feeding’

• What is enteral nutrition?

  Nutrition administered via the GI tract
• Why is the GI tract important?

  It aids in ingestion, digestion, absorption, and elimination
• What are the main components of the GI tract?

  Mouth, pharynx, oesophagus, stomach, intestines
• What do enteral feeding tubes bypass?

  The mouth, pharynx, and oesophagus
• What is the preferred method of feeding for children with a functioning GI tract?

  Oral feeding
• What is enteral feeding?

  Supplying nutrients directly to the GI tract via a tube
• What is another term for enteral feeding?

  Tube feeding
• What types of tubes can be used for enteral feeding?

  Orogastric, nasogastric, gastrostomy, jejunostomy
• What does PEG stand for?

  Percutaneous endoscopic gastrostomy
• When is enteral feeding necessary?

  When a patient cannot meet nutritional needs
• What are the benefits of tube feeding?

  Provides nutrition and keeps the GI tract functioning
• What conditions may require enteral feeding?

  Inability to suck or swallow, anorexia, congenital abnormalities
• What is a nasogastric (NG) tube?

  A tube inserted through the nose into the stomach
• What is the purpose of a nasogastric tube?

  To carry food and medicine directly to the stomach
• What does bidirectional potential mean in relation to an NG tube?

  It can deliver and remove stomach contents
• What is NG tube feeding?

  Feeding through a nasogastric tube
• What types of nutrition can be delivered via NG tube?

  Breast milk, formula milk, liquid nutrition
• What training is required for nurses administering NG feeding?

  They must be trained and competent
• What is the first step in inserting a nasogastric tube?

  Explain the procedure and gain consent
• What equipment is needed for NG tube insertion?

  Syringe, pH paper, tape, feeding tube
• How should the patient be positioned for NG tube insertion?

  Elevate bed head to 30 degrees
• How is the length of the NG tube measured?

  From nose bridge to ear lobe to xiphisternum
• What should be used to lubricate the NG tube tip?

  Sterile water only
• What should be monitored during NG tube insertion?

  Patient's color and breathing
• How is correct placement of the NG tube confirmed?

  Aspirate and check pH level
• What is the safe pH range for NG tube placement?

  Between 1 and 5.5
• What should be done if no aspirate can be obtained?

  Reposition the child or advance the tube
• What is the second line method for confirming NG tube placement?

  X - ray
• What must be documented after NG tube procedures?

  All actions and observations
• What should be done if medications affect stomach pH?

  Be mindful of medication effects on pH
• What is the purpose of the x-ray request form?

  To establish tube position for feeding
• Who interprets the x-ray for tube placement?

  Competent clinical staff